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General NPI Number Information
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NPI Number | 1477975506
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Entity Type | Organization
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Legal Business Name | HOSPITAL NEUROLOGY SERVICES INC
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 211 WESLEY CT
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City | ROSEVILLE
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State | CA
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Zip | 95661-7913
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Country | US
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Telephone | 480-298-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 211 WESLEY CT
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City | ROSEVILLE
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State | CA
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Zip | 95661-7913
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Country | US
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Telephone | 480-298-7401
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD ASIM MAHMOOD
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Credential | MD
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Telephone | 480-298-7401
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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 | C53312
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License Number State | CA
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