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General NPI Number Information
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NPI Number | 1770577579
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 500 WEST BROADWAY STREET SUITE 310
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City | MISSOULA
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State | MT
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Zip | 59802-4012
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Country | US
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Telephone | 406-728-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WEST BROADWAY STREET SUITE 310
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City | MISSOULA
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State | MT
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Zip | 59802-4012
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Country | US
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Telephone | 406-728-6520
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. KATHLEEN RYAN
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Credential |
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Telephone | 406-728-6520
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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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