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General NPI Number Information
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NPI Number | 1295924785
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Entity Type | Organization
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Legal Business Name | NEUROLOGY SPECIALISTS INC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | ONE ELIZABETH PLACE SUITE 210 WEST MEDICAL PLAZA
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City | DAYTON
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State | OH
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Zip | 45408-1445
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Country | US
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Telephone | 937-495-0000
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Fax | 937-495-0140
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Provider Business Mailing Address
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Address Line | ONE ELIZABETH PLACE SUITE 210 WEST MEDICAL PLAZA
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City | DAYTON
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State | OH
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Zip | 45408-1445
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Country | US
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Telephone | 937-495-0000
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Fax | 937-495-0140
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN K JACOBS
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Credential | M.D.
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Telephone | 937-495-0000
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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 | OH
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