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General NPI Number Information
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NPI Number | 1467770495
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL ASSOCIATES OF BURBANK CORP
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2625 W ALAMEDA AVE STE 326
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City | BURBANK
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State | CA
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Zip | 91505-4822
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Country | US
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Telephone | 818-566-9991
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Fax | 818-566-9992
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Provider Business Mailing Address
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Address Line | 2625 W ALAMEDA AVE STE 326
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City | BURBANK
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State | CA
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Zip | 91505-4822
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Country | US
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Telephone | 818-566-9991
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Fax | 818-566-9992
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Authorized Official
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Title or Position | OWNER
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Name | AHED HANNA-KASTOUN
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Credential | M.D.
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Telephone | 818-566-9991
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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 | A102476
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License Number State | CA
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