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NPI 1588513568

NPI 1588513568 : THE NEUROLOGY COLLECTIVE : IRVING, TX

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General NPI Number Information
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    NPI Number           |    1588513568
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE NEUROLOGY COLLECTIVE 
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Dates
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    Enumeration Date     |    01/23/2026
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    Last Update Date     |    01/23/2026
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Provider Practice Location Address
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    Address Line         |    400 E JOHN CARPENTER FWY 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75062-3955
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    Country              |    US
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    Telephone            |    601-291-5645
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7930 EAGLE TRL 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75238-4119
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    Country              |    US
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    Telephone            |    972-342-7028
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN CO-OWNER
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    Name                 |     AASHOO  MENTREDDI 
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    Credential           |    MD
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    Telephone            |    601-291-5645
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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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