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General NPI Number Information
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NPI Number | 1710762315
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Entity Type | Organization
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Legal Business Name | HOPE NEUROLOGY LLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 33 E BROADWAY STE 125
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City | COLUMBIA
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State | MO
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Zip | 65203-4200
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Country | US
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Telephone | 844-758-4673
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Fax | 573-554-3962
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Provider Business Mailing Address
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Address Line | 33 E BROADWAY STE 125
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City | COLUMBIA
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State | MO
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Zip | 65203-4200
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Country | US
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Telephone | 844-758-4673
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SYEDA LAILA ALQADRI
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Credential | MD
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Telephone | 573-219-8956
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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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