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General NPI Number Information
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NPI Number | 1407807092
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Entity Type | Organization
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Legal Business Name | THE NEUROLOGICAL INSTITUTE P.A.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 2607 E 7TH ST STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28204-4308
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Country | US
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Telephone | 704-449-6064
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Fax | 704-731-0936
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Provider Business Mailing Address
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Address Line | 2607 E 7TH ST STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28204-4308
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Country | US
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Telephone | 704-449-6064
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Fax | 704-731-0936
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. T HEMANTH P RAO
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Credential | MD
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Telephone | 704-449-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207T00000X
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Taxonomy Name | Neurological Surgery 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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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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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