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General NPI Number Information
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NPI Number | 1295741007
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Entity Type | Organization
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Legal Business Name | NEUROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 1301 S CLIFF AVE SUITE 506
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1023
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Country | US
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Telephone | 605-335-0844
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Fax | 605-977-1715
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Provider Business Mailing Address
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Address Line | 1301 S CLIFF AVE SUITE 506
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1053
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Country | US
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Telephone | 605-335-0844
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Fax | 605-977-1715
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHELLY HAGEN
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Credential |
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Telephone | 605-782-8949
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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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