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General NPI Number Information
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NPI Number | 1649788894
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Entity Type | Organization
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Legal Business Name | SHILOH NEUROLOGY PC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 123 ALCORN DRIVE
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-594-1799
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Fax | 662-594-8621
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Provider Business Mailing Address
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Address Line | 123 ALCORN DRIVE
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-594-1799
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Fax | 662-594-8621
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. ANDREW L KERBY
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Credential | MD
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Telephone | 662-594-1799
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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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