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General NPI Number Information
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NPI Number | 1811211105
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY LLC
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD SUITE 415
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City | TRENTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-585-2666
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Fax | 609-581-9282
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Provider Business Mailing Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD SUITE 415
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City | TRENTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-585-2666
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Fax | 609-581-7901
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. RAO S. PASUPULETI
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Credential | MD
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Telephone | 609-585-2666
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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 | 25MA04107600
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License Number State | NJ
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