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General NPI Number Information
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NPI Number | 1407025901
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Entity Type | Organization
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Legal Business Name | SHELBYVILLE NEUROLOGY, PLLC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 720 HOSPITAL DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1685
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Country | US
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Telephone | 502-633-1937
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Fax |
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Provider Business Mailing Address
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Address Line | 720 HOSPITAL DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1685
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Country | US
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Telephone | 502-633-1937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WALTER MCFARLAND
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Credential | MD
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Telephone | 502-633-1937
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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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