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General NPI Number Information
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NPI Number | 1184804320
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Entity Type | Organization
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Legal Business Name | BOONE NEUROLOGICAL SERVICES, PA
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 895 STATE FARM RD SUITE 501
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City | BOONE
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State | NC
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Zip | 28607-4917
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Country | US
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Telephone | 828-264-7720
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Fax | 828-264-7636
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Provider Business Mailing Address
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Address Line | 895 STATE FARM RD SUITE 501
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City | BOONE
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State | NC
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Zip | 28607-4917
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Country | US
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Telephone | 828-264-7720
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Fax | 828-264-7636
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | DR. SUZANNE ELAINE MCADAMS
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Credential | MD
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Telephone | 828-264-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | NC9601697
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License Number State | NC
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