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General NPI Number Information
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NPI Number | 1386615854
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Entity Type | Organization
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Legal Business Name | MED-NEURO CORP
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 201 S ALVARADO STREET SUITE 828
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City | LOS ANGELES
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State | CA
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Zip | 90057
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Country | US
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Telephone | 213-484-5257
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Fax | 213-484-5919
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Provider Business Mailing Address
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Address Line | 201 S ALVARADO STREET SUITE 828
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City | LOS ANGELES
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State | CA
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Zip | 90057
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Country | US
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Telephone | 213-484-5257
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Fax | 213-484-5919
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Authorized Official
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Title or Position | NEUROLOGIST/PRES
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Name | DR. ALBERTO ARANIBAR
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Credential | MD
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Telephone | 213-484-5257
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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 | A42486
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License Number State | CA
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