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General NPI Number Information
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NPI Number | 1467256628
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Entity Type | Organization
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Legal Business Name | NEUROLOGIST CONSULTATION MANAGEMENT LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 7000 PARKWOOD BLVD STE F200
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City | FRISCO
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State | TX
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Zip | 75034-7475
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Country | US
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Telephone | 214-600-8744
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Fax | 214-600-8745
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Provider Business Mailing Address
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Address Line | PO BOX 797171
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City | DALLAS
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State | TX
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Zip | 75379-7171
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Country | US
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Telephone | 214-600-8744
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Fax | 214-600-8745
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Authorized Official
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Title or Position | PRESIDENT
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Name | FREDERICK LOPEZ
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Credential |
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Telephone | 214-600-8744
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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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