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General NPI Number Information
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NPI Number | 1700726569
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL CENTER OF EXCELLENCE
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 6913 CAMP BOWIE BLVD STE 175
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City | FORT WORTH
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State | TX
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Zip | 76116-7169
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Country | US
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Telephone | 682-267-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 6913 CAMP BOWIE BLVD STE 175
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City | FORT WORTH
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State | TX
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Zip | 76116-7169
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Country | US
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Telephone | 682-267-9550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ADEYEMI GBOHUNMI
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Credential | MD, PHD
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Telephone | 682-267-9550
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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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