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General NPI Number Information
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NPI Number | 1366844482
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Entity Type | Organization
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Legal Business Name | NEUROLOGY AND PAIN CONSULTANTS, PLLC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 152 E KINDERTON WAY
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City | ADVANCE
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State | NC
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Zip | 27006-7350
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Country | US
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Telephone | 133-694-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 152 E. KINDERTON WAY
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City | ADVANCE
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State | NC
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Zip | 27006
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Country | US
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Telephone | 336-940-2781
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Fax | 336-940-2782
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. JOHN ARTHUR PORTER
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Credential | MD
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Telephone | 336-940-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 200002557108
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License Number State | NC
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