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General NPI Number Information
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NPI Number | 1689799082
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Entity Type | Organization
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Legal Business Name | NEAL S TAUB, M.D., P.A.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 3535 RANDOLPH RD SUITE 208
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City | CHARLOTTE
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State | NC
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Zip | 28211-1032
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Country | US
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Telephone | 704-442-9805
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Fax | 704-405-0868
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Provider Business Mailing Address
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Address Line | 3535 RANDOLPH RD SUITE 208
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City | CHARLOTTE
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State | NC
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Zip | 28211-1032
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Country | US
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Telephone | 704-442-9805
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Fax | 704-405-0868
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEAL S TAUB
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Credential | M.D.
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Telephone | 704-442-9805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 35767
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License Number State | NC
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