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General NPI Number Information
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NPI Number | 1215653761
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Entity Type | Organization
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Legal Business Name | NEUROGLEE CARE PLLC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 333 SE 2ND AVE STE 2000
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City | MIAMI
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State | FL
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Zip | 33131-2185
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Country | US
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Telephone | 857-557-5777
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Fax | 857-557-5778
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Provider Business Mailing Address
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Address Line | 101 ARCH ST FL 8
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City | BOSTON
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State | MA
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Zip | 02110-7500
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Country | US
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Telephone | 857-557-5777
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAVI PATEL
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Credential | DO
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Telephone | 352-313-8000
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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 |
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License Number State |
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