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General NPI Number Information
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NPI Number | 1750516746
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Entity Type | Organization
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Legal Business Name | JOPLIN NEUROSURGICAL ASSOC., INC.
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 2902 B MCCLELLAND BLVD. SUITE #7
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City | JOPLIN
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State | MO
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Zip | 64804-1632
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Country | US
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Telephone | 417-781-4733
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Fax | 417-781-8078
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Provider Business Mailing Address
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Address Line | 2902 B MCCLELLAND BLVD. STE. 7
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City | JOPLIN
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State | MO
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Zip | 64804-1632
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Country | US
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Telephone | 417-781-4733
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Fax | 417-781-8078
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. HISH S. MAJZOUB
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Credential | M.D.
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Telephone | 417-781-4733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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