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General NPI Number Information
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NPI Number | 1427049857
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Entity Type | Organization
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Legal Business Name | CENTER FOR NEUROLOGICAL DISORDERS PA
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 13005 SOUTHERN BLVD SUITE 115
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-422-2141
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Fax | 561-422-2161
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Provider Business Mailing Address
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Address Line | 13005 SOUTHERN BLVD SUITE 115
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-422-2141
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Fax | 561-422-2161
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ZUBAIR MOHAMMED
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Credential |
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Telephone | 561-422-2141
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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 | OS7969
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License Number State | FL
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