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General NPI Number Information
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NPI Number | 1639951270
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY SPECIALISTS PLLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 3017 E RENNER RD STE 100
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City | RICHARDSON
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State | TX
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Zip | 75082-3575
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Country | US
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Telephone | 469-902-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 E RENNER RD STE 100
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City | RICHARDSON
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State | TX
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Zip | 75082-3575
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Country | US
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Telephone | 469-902-9878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISHAQ ALI
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Credential | MD
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Telephone | 469-902-9878
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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 |
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