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General NPI Number Information
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NPI Number | 1689109035
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Entity Type | Organization
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Legal Business Name | PRECISION NEUROLOGICAL CARE PLLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 31 GARDNER AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-2552
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Country | US
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Telephone | 516-500-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 31 GARDNER AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-2552
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Country | US
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Telephone | 516-500-1031
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. SARAH MINTU CHERIAN
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Credential |
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Telephone | 516-500-1031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 2525361
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License Number State | NY
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