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General NPI Number Information
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NPI Number | 1780732529
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Entity Type | Organization
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Legal Business Name | NORTH BROWARD NEUROLOGY, P.A.
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 1725 N UNIVERSITY DR SUITE #425
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6089
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Country | US
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Telephone | 954-539-2030
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Fax | 954-539-2035
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Provider Business Mailing Address
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Address Line | 49 N FEDERAL HWY SUITE 348
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4304
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Country | US
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Telephone | 954-539-2030
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Fax | 954-539-2035
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | DR. BRAD M DAJANI
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Credential | MD
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Telephone | 954-539-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME76337
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License Number State | FL
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