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General NPI Number Information
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NPI Number | 1588733240
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL REGIONAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 504 ROUTE 38 E
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City | MAPLE SHADE
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State | NJ
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Zip | 08052
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Country | US
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Telephone | 856-866-0466
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Fax | 856-727-1483
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Provider Business Mailing Address
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Address Line | 504 ROUTE 38 E
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City | MAPLE SHADE
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State | NJ
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Zip | 08052-2039
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Country | US
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Telephone | 856-866-0466
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Fax | 856-727-1483
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KAREN YETTER
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Credential |
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Telephone | 856-866-0466
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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 | NJ
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