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General NPI Number Information
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NPI Number | 1245789148
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Entity Type | Organization
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Legal Business Name | NEUROLOGY & EPILEPSY, PSC
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 30 CALLE PADIAL SUITE 120
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City | CAGUAS
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State | PR
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Zip | 00725-3807
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Country | US
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Telephone | 787-653-5060
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Fax | 787-653-9880
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Provider Business Mailing Address
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Address Line | DA3 CALLE HASTINGS GARDEN HILLS NORTE
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City | GUAYNABO
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State | PR
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Zip | 00966-2128
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Country | US
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Telephone | 787-653-5060
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Fax | 787-653-9880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHERINE M PADILLA RODRIGUEZ
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Credential | MD
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Telephone | 787-653-5060
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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 | 17907
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License Number State | PR
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