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General NPI Number Information
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NPI Number | 1467897322
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Entity Type | Organization
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Legal Business Name | WEST COAST NEUROLOGY, INC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 625 FAIR OAKS AVE STE 175
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-2683
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Country | US
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Telephone | 626-598-3770
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Fax | 626-598-3797
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Provider Business Mailing Address
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Address Line | 625 FAIR OAKS AVE STE 175
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-2683
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Country | US
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Telephone | 626-598-3770
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Fax | 626-598-3797
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Authorized Official
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Title or Position | CEO
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Name | DR. EDWARD BARTON
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Credential | MD
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Telephone | 626-598-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | A101958
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A101958
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License Number State | CA
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