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General NPI Number Information
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NPI Number | 1518142280
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Entity Type | Organization
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Legal Business Name | THE NEIL GROUP, INC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 1399 ASHLEYBROOK LN STE 100
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2961
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Country | US
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Telephone | 336-774-2194
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Fax | 336-774-2195
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Provider Business Mailing Address
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Address Line | 1399 ASHLEYBROOK LN STE 100
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2961
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Country | US
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Telephone | 336-774-2194
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Fax | 336-774-2195
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RANSFORD AUTHURBURY NEIL II
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Credential | MA LPC
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Telephone | 336-774-2194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2005-01450
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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