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General NPI Number Information
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NPI Number | 1558491373
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Entity Type | Organization
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Legal Business Name | THROGGS NECK NEUROLOGICAL DIAGNOSIS PC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 3146 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5706
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Country | US
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Telephone | 718-409-3433
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Fax | 718-933-5321
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Provider Business Mailing Address
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Address Line | 3146 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5706
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Country | US
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Telephone | 718-409-3433
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Fax | 718-933-5321
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | EVA LOUDAROS
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Credential |
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Telephone | 718-204-0414
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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 |
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License Number State |
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