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General NPI Number Information
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NPI Number | 1750188090
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Entity Type | Organization
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Legal Business Name | UNIVERSAL NEUROLOGICAL CARE
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 8823 SAN JOSE BLVD STE 209
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City | JACKSONVILLE
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State | FL
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Zip | 32217-4288
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Country | US
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Telephone | 904-404-7044
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Fax | 904-329-2303
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Provider Business Mailing Address
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Address Line | 8823 SAN JOSE BLVD STE 209
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City | JACKSONVILLE
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State | FL
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Zip | 32217-4288
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Country | US
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Telephone | 904-404-7044
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Fax | 904-329-2303
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Authorized Official
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Title or Position | BILLING ASST
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Name | ALLISON WILLIAMS
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Credential |
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Telephone | 904-404-7044
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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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