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General NPI Number Information
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NPI Number | 1376522896
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Entity Type | Organization
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Legal Business Name | SOUTHAMPTON NEUROLOGY PC
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 177 COMMERCE PARK ROAD
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City | FRANKLIN
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State | VA
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Zip | 23851-1226
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Country | US
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Telephone | 757-569-9524
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Fax | 757-569-0504
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Provider Business Mailing Address
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Address Line | 177 COMMERCE PARK ROAD
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City | FRANKLIN
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State | VA
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Zip | 23851-1226
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Country | US
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Telephone | 757-569-9524
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Fax | 757-569-0504
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H HIGHLANDER
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Credential | M.D.
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Telephone | 757-569-9524
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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 | 0101049903
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License Number State | VA
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