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General NPI Number Information
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NPI Number | 1295066728
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Entity Type | Organization
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Legal Business Name | NEUMEDICINE TECHNOLOGIES ASSOCIATES
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 24792 SUTHERLAND DR
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City | NOVI
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State | MI
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Zip | 48374-3140
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Country | US
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Telephone | 877-563-8633
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Fax | 419-861-7611
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Provider Business Mailing Address
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Address Line | PO BOX 756
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City | NOVI
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State | MI
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Zip | 48376-0756
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Country | US
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Telephone | 877-563-8633
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Fax | 419-861-7611
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ROB FISHER
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Credential |
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Telephone | 877-563-8835
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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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