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General NPI Number Information
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NPI Number | 1558259309
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Entity Type | Organization
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Legal Business Name | SEACOAST NEUROLOGY GROUP, PC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 45 RESNIK RD STE 205
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City | PLYMOUTH
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State | MA
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Zip | 02360-7223
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Country | US
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Telephone | 508-746-5060
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Fax | 508-746-5060
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Provider Business Mailing Address
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Address Line | 45 RESNIK RD STE 205
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City | PLYMOUTH
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State | MA
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Zip | 02360-7223
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Country | US
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Telephone | 508-746-5060
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Fax | 508-746-8060
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Authorized Official
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Title or Position | OWNER
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Name | KINAN HREIB
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Credential | MD
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Telephone | 508-746-5060
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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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