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General NPI Number Information
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NPI Number | 1386656270
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF NEUROLOGY AND NEUROSURGERY AT SAINT BARNABAS
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE STE 101
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-7580
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Fax | 973-322-8505
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Provider Business Mailing Address
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Address Line | 18 E 41ST ST STE 1206
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 212-725-8511
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Fax | 212-726-7417
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Authorized Official
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Title or Position | PRESIDENT
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Name | ORRIN DEVINSKY
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Credential | M.D.
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Telephone | 973-322-7580
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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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