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General NPI Number Information
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NPI Number | 1780637603
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Entity Type | Organization
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Legal Business Name | ANNISTON NEUROLOGY AND HEADACHE MANAGEMENT CENTER P C
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 1130 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207
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Country | US
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Telephone | 256-231-0022
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Fax | 256-231-2266
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Provider Business Mailing Address
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Address Line | 1130 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207
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Country | US
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Telephone | 256-231-0022
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Fax | 256-231-2266
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Authorized Official
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Title or Position | PARTNERS
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Name | CHANDRA K GEHI
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Credential | MD
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Telephone | 256-231-0022
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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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