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General NPI Number Information
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NPI Number | 1528142890
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Entity Type | Organization
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Legal Business Name | COLUMBIA NEUROLOGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9 RICHLAND MEDICAL PARK DR SUITE 450
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City | COLUMBIA
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State | SC
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Zip | 29203-6859
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Country | US
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Telephone | 803-765-0620
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Fax | 803-765-4550
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Provider Business Mailing Address
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Address Line | 9 RICHLAND MEDICAL PARK SUITE 450
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 803-765-0620
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Fax | 803-765-4550
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. FRANK OLIN PUSEY JR.
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Credential | M.D.
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Telephone | 803-765-0620
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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 | EI4733
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License Number State | SC
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