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General NPI Number Information
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NPI Number | 1467514778
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Entity Type | Organization
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Legal Business Name | U.S. NEUROLOGY, P.C.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23 FAIRVIEW AVE
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-7934
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Country | US
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Telephone | 201-522-0646
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Fax |
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Provider Business Mailing Address
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Address Line | 23 FAIRVIEW AVE
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-7934
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Country | US
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Telephone | 201-522-0646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIRZA SULEMAN BEG
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Credential | M.D.
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Telephone | 201-522-0646
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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 | MA067854
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License Number State | NJ
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