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General NPI Number Information
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NPI Number | 1568659456
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Entity Type | Organization
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Legal Business Name | NEW ALBANY NEUROLOGY, PSC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1919 STATE ST STE 305
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City | NEW ALBANY
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State | IN
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Zip | 47150-6806
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Country | US
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Telephone | 812-944-0367
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Fax | 812-944-1279
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Provider Business Mailing Address
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Address Line | 1919 STATE ST STE 305
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City | NEW ALBANY
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State | IN
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Zip | 47150-6806
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Country | US
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Telephone | 812-944-0367
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Fax | 812-944-1279
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Authorized Official
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Title or Position | OWNER
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Name | DR. AKIF M HASAN
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Credential | M.D.
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Telephone | 812-944-0367
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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 | 01052746A
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License Number State | IN
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