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General NPI Number Information
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NPI Number | 1326340027
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Entity Type | Organization
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Legal Business Name | PARTNERS IN NEUROLOGY, P.A.
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 239 HURFFVILLE CROSSKEYS RD SUITE 440
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City | SEWELL
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State | NJ
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Zip | 08080-4002
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Country | US
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Telephone | 856-556-0031
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Fax | 866-886-3360
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Provider Business Mailing Address
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Address Line | PO BOX 1117
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-0887
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Country | US
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Telephone | 610-420-2146
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Fax | 866-886-3360
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OR SHACHAR
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Credential | M.D.
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Telephone | 610-420-2146
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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 | MA71784
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License Number State | NJ
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