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General NPI Number Information
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NPI Number | 1306854658
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Entity Type | Organization
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Legal Business Name | MEDICAL NEUROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2550 MOSSIDE BLVD
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City | MONROEVILLE
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State | PA
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Zip | 15146-3540
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Country | US
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Telephone | 412-372-2369
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 MOSSIDE BLVD
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City | MONROEVILLE
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State | PA
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Zip | 15146-3540
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Country | US
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Telephone | 412-372-2369
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | ANTOIN MUNIRJI
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Credential | M.D.
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Telephone | 412-372-2369
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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 | 049957-L
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License Number State | PA
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