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General NPI Number Information
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NPI Number | 1396587788
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Entity Type | Organization
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Legal Business Name | ADVANCED STROKE CARE
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 4501 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9216
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Country | US
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Telephone | 979-583-3994
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 NATURE WALK APT 408
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-3768
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Country | US
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Telephone | 727-844-5404
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Fax | 727-844-5404
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | DR. ABHISHEK LUNAGARIYA
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Credential | MD
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Telephone | 979-583-3994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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