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General NPI Number Information
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NPI Number | 1336808567
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Entity Type | Organization
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Legal Business Name | VIRTUAL NEUROLOGY PC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE. TOWER B 2ND FLR
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 239-208-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 9110 COLLEGE POINTE CT
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City | FORT MYERS
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State | FL
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Zip | 33919-3244
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMED ZAMAN
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Credential | DO
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Telephone | 239-220-2212
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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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