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General NPI Number Information
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NPI Number | 1295459097
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCE CONSULTANTS LLP
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 2741 EXECUTIVE PARK DR STE 3
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City | WESTON
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State | FL
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Zip | 33331-3641
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Country | US
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Telephone | 954-289-5472
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Fax | 954-280-7204
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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Authorized Official
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Title or Position | COO
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Name | LANNY E PAULEY
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Credential |
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Telephone | 786-924-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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