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General NPI Number Information
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NPI Number | 1689606097
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Entity Type | Organization
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Legal Business Name | NEUROLOGY & SLEEP CENTER, P.A.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 1220 MANN DRIVE
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City | MATTHEWS
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State | NC
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Zip | 28105
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Country | US
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Telephone | 704-847-1641
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Fax | 704-847-1642
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Provider Business Mailing Address
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Address Line | 1220 MANN DRIVE
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City | MATTHEWS
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State | NC
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Zip | 28105
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Country | US
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Telephone | 704-847-1641
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Fax | 704-847-1642
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. URVI G DESAI
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Credential | M.D.
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Telephone | 704-847-1641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2271318C
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License Number State | NC
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