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General NPI Number Information
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NPI Number | 1316743677
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Entity Type | Organization
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Legal Business Name | NEUROGLEE CARE PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1274 OSGOOD ST STE 2
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-1090
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Country | US
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Telephone | 888-411-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 101 ARCH ST FL 8
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City | BOSTON
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State | MA
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Zip | 02110-7500
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Country | US
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Telephone | 857-557-5777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAVI JAIMINI PATEL
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Credential |
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Telephone | 812-878-0070
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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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