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General NPI Number Information
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NPI Number | 1396803318
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCE ASSOCIATES, PSC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1919 STATE ST SUITE 22
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City | NEW ALBANY
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State | IN
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Zip | 47150-4929
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Country | US
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Telephone | 812-944-5255
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Fax | 812-948-1578
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Provider Business Mailing Address
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Address Line | 3900 KRESGE WAY SUITE 56
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City | LOUISVILLE
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State | KY
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Zip | 40207-4660
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Country | US
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Telephone | 502-895-7265
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Fax | 502-897-2113
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHERYL H BIBB
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Credential |
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Telephone | 502-895-7265
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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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