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General NPI Number Information
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NPI Number | 1497547236
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Entity Type | Organization
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Legal Business Name | ISLAND NEUROLOGY LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 127 JOHN CLARKE RD STE 2
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7632
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Country | US
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Telephone | 401-415-0147
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Fax |
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Provider Business Mailing Address
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Address Line | 127 JOHN CLARKE RD STE 2
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7632
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Country | US
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Telephone | 401-415-0147
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | KEITH BRECHER
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Credential | MD
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Telephone | 401-932-4611
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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 |
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License Number State |
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