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General NPI Number Information
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NPI Number | 1467514414
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Entity Type | Organization
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Legal Business Name | NEUROLOGIC AND HEADACHE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3070 BRISTOL PIKE STE 124
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City | BENSALEM
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State | PA
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Zip | 19020-5364
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Country | US
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Telephone | 215-245-0272
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Fax | 215-244-1005
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Provider Business Mailing Address
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Address Line | 3070 BRISTOL PIKE STE 124
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City | BENSALEM
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State | PA
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Zip | 19020-5364
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Country | US
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Telephone | 215-245-0272
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Fax | 215-244-1005
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOUIS S PEARLSTEIN
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Credential | D.O.
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Telephone | 215-245-0272
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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 | OS004200L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OS008836L
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License Number State | PA
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