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General NPI Number Information
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NPI Number | 1811777824
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Entity Type | Organization
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Legal Business Name | PINNACLE NEUROLOGY PLLC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 1600 COIT RD STE 208
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City | PLANO
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State | TX
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Zip | 75075-6172
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Country | US
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Telephone | 469-666-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 4757 W PARK BLVD STE 113-1244
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City | PLANO
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State | TX
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Zip | 75093-2329
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Country | US
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Telephone | 469-666-0184
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRFAN JAFREE
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Credential | MD
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Telephone | 713-447-6282
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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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