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General NPI Number Information
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NPI Number | 1770791964
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Entity Type | Individual
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Provider Name | WILLIAM PATRICK NEIL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 4405 VANDEVER AVE FIRST FLOOR DEPT OF NEUROLOGY
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City | SAN DIEGO
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State | CA
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Zip | 92120-3315
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Country | US
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Telephone | 619-528-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 3151 PALM ST
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City | SAN DIEGO
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State | CA
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Zip | 92104-5016
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Country | US
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Telephone | 619-980-7550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A111200
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License Number State | CA
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