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General NPI Number Information
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NPI Number | 1194963504
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Entity Type | Organization
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Legal Business Name | NEUROLOGY ALLIANCE S.C.
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 2424 S 90TH ST SUITE 504
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City | WEST ALLIS
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State | WI
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Zip | 53227-2455
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Country | US
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Telephone | 414-328-7489
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Fax | 414-328-7266
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Provider Business Mailing Address
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Address Line | 2424 S 90TH ST SUITE 504
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City | WEST ALLIS
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State | WI
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Zip | 53227-2455
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Country | US
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Telephone | 414-328-7489
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Fax | 414-328-7266
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARSHAD AHMED
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Credential |
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Telephone | 414-328-7489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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