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General NPI Number Information
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NPI Number | 1588832117
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL AND PAIN INSTITUTE INC
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 8851 CENTER DR SUITE 608
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City | LA MESA
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State | CA
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Zip | 91942-3017
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Country | US
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Telephone | 619-460-5850
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Fax | 619-460-5849
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Provider Business Mailing Address
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Address Line | 8130 LA MESA BLVD # 175
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City | LA MESA
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State | CA
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Zip | 91941-6437
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Country | US
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Telephone | 619-460-5850
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Fax | 619-460-5849
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIRHASSAN BAHREMAN
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Credential | M.D.
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Telephone | 619-460-5850
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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 | A97322
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License Number State | CA
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