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General NPI Number Information
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NPI Number | 1518819325
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Entity Type | Organization
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Legal Business Name | NEUROLOGY PAIN & SPINE INJURY CONSULTANTS LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1245 N MAIN ST STE B
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City | LAPEER
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State | MI
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Zip | 48446-1346
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Country | US
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Telephone | 734-673-5917
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Fax | 314-667-6915
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Provider Business Mailing Address
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Address Line | 1245 N MAIN ST STE B
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City | LAPEER
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State | MI
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Zip | 48446-1346
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Country | US
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Telephone | 734-673-5917
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Fax | 314-667-6915
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | MELANIE MAYCOCK
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Credential |
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Telephone | 734-673-5917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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