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General NPI Number Information
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NPI Number | 1699694851
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Entity Type | Organization
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Legal Business Name | BAPTIST NEUROLOGY INC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 8595 SAINT JOHNS PKWY STE B107
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-2064
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Country | US
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Telephone | 904-376-3880
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Fax | 904-618-2113
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Provider Business Mailing Address
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Address Line | PO BOX 746649
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City | ATLANTA
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State | GA
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Zip | 30374-6649
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4075
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAMIEN MAFARLANE
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Credential |
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Telephone | 904-202-4136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number |
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License Number State |
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