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General NPI Number Information
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NPI Number | 1184784951
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Entity Type | Organization
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Legal Business Name | NEUROSURGICAL ASSOCIATES OF TEXARKANA
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 1002 TEXAS BLVD SUITE 406
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City | TEXARKANA
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State | TX
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Zip | 75501-5113
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Country | US
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Telephone | 903-794-4196
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Fax | 903-792-7408
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Provider Business Mailing Address
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Address Line | PO BOX 9600 DEPT 09-019
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City | TEXARKANA
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State | TX
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Zip | 75505-9600
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Country | US
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Telephone | 903-794-4196
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Fax | 903-792-7408
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. BILL CURTIS
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Credential |
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Telephone | 903-794-4196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K1252
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License Number State | TX
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