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General NPI Number Information
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NPI Number | 1407272354
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Entity Type | Organization
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Legal Business Name | HEADACHE AND NEUROLOGICAL CARE CENTER PC
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 2138 SCENIC HIGHWAY SUITE - E
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City | SNELLVILLE
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State | GA
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Zip | 30078-6106
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Country | US
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Telephone | 678-395-3289
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Fax | 678-395-3353
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Provider Business Mailing Address
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Address Line | 2138 SCENIC HIGHWAY SUITE - E
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City | SNELLVILLE
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State | GA
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Zip | 30078-6106
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Country | US
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Telephone | 678-395-3289
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Fax | 678-395-3353
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Authorized Official
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Title or Position | OWNER
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Name | DR. NILANEE A KARIKARAN
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Credential | M.D.
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Telephone | 678-395-3289
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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 | 57872
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License Number State | GA
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