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General NPI Number Information
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NPI Number | 1205906062
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Entity Type | Organization
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Legal Business Name | NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 301 RIVERVIEW AVE SUITE 400
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City | NORFOLK
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State | VA
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Zip | 23510-1065
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Country | US
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Telephone | 757-622-5325
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Fax | 757-625-6743
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Provider Business Mailing Address
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Address Line | 301 RIVERVIEW AVE SUITE 400
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City | NORFOLK
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State | VA
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Zip | 23510-1065
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Country | US
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Telephone | 757-622-5325
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Fax | 757-625-6743
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELANIE COOKSEY
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Credential |
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Telephone | 757-622-5325
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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 |
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License Number State |
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