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General NPI Number Information
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NPI Number | 1457551400
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Entity Type | Organization
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Legal Business Name | NEUROLOGY ASSOCIATES OF LEE COUNTY
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 12600 CREEKSIDE LN SUITE 7
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City | FORT MYERS
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State | FL
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Zip | 33919-3353
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Country | US
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Telephone | 239-939-2412
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Fax | 239-275-6566
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Provider Business Mailing Address
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Address Line | 12600 CREEKSIDE LN SUITE 7
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City | FORT MYERS
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State | FL
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Zip | 33919-3353
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Country | US
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Telephone | 239-939-2412
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Fax | 239-275-6566
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD F STEINMETZ
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Credential | MD
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Telephone | 239-939-2412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME16530
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License Number State | FL
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