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General NPI Number Information
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NPI Number | 1689524795
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Entity Type | Organization
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Legal Business Name | NEURODOC INC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 7807 BAYMEADOWS RD E STE 303
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9667
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Country | US
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Telephone | 904-204-6585
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Fax | 850-390-7195
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Provider Business Mailing Address
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Address Line | 7807 BAYMEADOWS RD E STE 303
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9667
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Country | US
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Telephone | 904-204-6585
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Fax | 850-390-7195
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Authorized Official
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Title or Position | PRACTICE MANGER
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Name | ROBERT GAMBILL
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Credential |
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Telephone | 904-226-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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