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General NPI Number Information
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NPI Number | 1609322890
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CONSULTANTS OF NORTHWEST INDIANA, P.C.
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5521 W LINCOLN HWY STE 100
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City | CROWN POINT
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State | IN
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Zip | 46307-1098
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Country | US
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Telephone | 219-750-9665
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Fax | 219-750-9672
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Provider Business Mailing Address
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Address Line | 5521 W LINCOLN HWY STE 100
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City | CROWN POINT
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State | IN
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Zip | 46307-1098
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Country | US
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Telephone | 219-750-9665
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Fax | 219-750-9672
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. AISHA SHAREEF
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Credential |
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Telephone | 219-750-9665
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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 | 01067804A
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License Number State | IN
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