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General NPI Number Information
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NPI Number | 1730614512
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Entity Type | Organization
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Legal Business Name | SYNOPTIC NEUROSCIENCES INSTITUTE INC
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 07/29/2018
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Provider Practice Location Address
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Address Line | 1200 HARRISON AVE STE 146
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 681-298-4463
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Fax | 877-449-5441
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Provider Business Mailing Address
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Address Line | 146 SUMMIT LN
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City | BERKELEY SPRINGS
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State | WV
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Zip | 25411-5231
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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 | ADMINISTRATOR
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Name | DANIAL MCDONALD
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Credential |
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Telephone | 681-298-4463
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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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