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General NPI Number Information
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NPI Number | 1699585448
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Entity Type | Organization
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Legal Business Name | ANN ARBOR NEUROSURGERY PLLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2641 ASPEN RD
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City | ANN ARBOR
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State | MI
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Zip | 48108-9777
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Country | US
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Telephone | 216-618-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 2641 ASPEN RD
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City | ANN ARBOR
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State | MI
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Zip | 48108-9777
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | NICOLE MASCIA
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Credential |
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Telephone | 248-701-9090
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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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