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General NPI Number Information
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NPI Number | 1558476556
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Entity Type | Organization
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Legal Business Name | NEUROLOGY LLPC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1919 S WHEELING AVE SUITE 707
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City | TULSA
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State | OK
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Zip | 74104-5638
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Country | US
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Telephone | 918-747-7518
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Fax | 918-742-7947
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Provider Business Mailing Address
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Address Line | 1919 S WHEELING AVE SUITE 707
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City | TULSA
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State | OK
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Zip | 74104-5638
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Country | US
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Telephone | 918-747-7518
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Fax | 918-742-7947
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | MR. JOHN E CATTANEO
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Credential | MD
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Telephone | 918-747-7518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23228
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 19318
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License Number State | OK
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