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General NPI Number Information
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NPI Number | 1497992242
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Entity Type | Organization
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Legal Business Name | NEUROHEALTH CENTER LLC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 755 STIRLING CENTER PL
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City | LAKE MARY
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State | FL
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Zip | 32746-5714
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Country | US
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Telephone | 407-878-3704
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Fax | 407-878-3705
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Provider Business Mailing Address
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Address Line | 755 STIRLING CENTER PL
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City | LAKE MARY
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State | FL
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Zip | 32746-5714
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Country | US
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Telephone | 407-878-3704
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RAUL A RODAS
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Credential | DO
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Telephone | 386-334-2524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | OS0004804
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License Number State | FL
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