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General NPI Number Information
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NPI Number | 1619224177
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Entity Type | Organization
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Legal Business Name | CALIFORNIA NEUROLOGICAL SERVICES INC
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 8780 VAN NUYS BLVD STE B
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City | PANORAMA CITY
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State | CA
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Zip | 91402-2412
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Country | US
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Telephone | 818-894-3111
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Fax | 818-894-3133
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Provider Business Mailing Address
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Address Line | 1158 26TH ST STE 504
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City | SANTA MONICA
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State | CA
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Zip | 90403-4698
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Country | US
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Telephone | 818-894-3111
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Fax | 818-894-3133
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMIL F VASQUEZ
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Credential |
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Telephone | 818-894-3111
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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 | CA
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