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General NPI Number Information
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NPI Number | 1790711356
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCE PRACTICE INSTITUTE PLLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1212 MICHIGAN AVE
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City | NAPLES
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State | FL
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Zip | 34103-3874
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Country | US
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Telephone | 239-465-4195
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Fax | 239-330-4951
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Provider Business Mailing Address
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Address Line | 1212 MICHIGAN AVE
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City | NAPLES
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State | FL
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Zip | 34103-3874
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Country | US
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Telephone | 239-465-4195
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Fax | 239-330-4951
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | GEOFFREY W COLINO
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Credential | M.D.
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Telephone | 239-465-4195
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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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