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General NPI Number Information
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NPI Number | 1609948603
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Entity Type | Organization
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Legal Business Name | NORTHCOAST NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 2752 HARRISON AVE SUITE A
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City | EUREKA
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State | CA
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Zip | 95501-4738
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Country | US
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Telephone | 707-268-0190
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Fax | 707-269-3791
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Provider Business Mailing Address
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Address Line | 2752 HARRISON AVE SUITE A
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City | EUREKA
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State | CA
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Zip | 95501-4738
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Country | US
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Telephone | 707-268-0190
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Fax | 707-269-3791
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN ARYANPUR
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Credential | MD
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Telephone | 707-268-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | FNP25793
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License Number State | CA
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