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General NPI Number Information
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NPI Number | 1235266172
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL RESEARCH AND TREATMENT CENTERS OF FLORIDA PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 6080 BOYNTON BEACH BLVD SUITE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3588
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Country | US
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Telephone | 561-733-8801
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Fax | 561-424-0941
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Provider Business Mailing Address
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Address Line | 6080 BOYNTON BEACH BLVD SUITE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3588
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Country | US
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Telephone | 561-733-8801
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Fax | 561-424-0941
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT O. SCHIFTAN
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Credential | MD
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Telephone | 561-733-8801
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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 | ME48746
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License Number State | FL
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