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General NPI Number Information
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NPI Number | 1821276940
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Entity Type | Organization
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Legal Business Name | NEUROPROTECTIVE SERVICES OF FLORIDA LLC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 5563 S LEWIS AVE SUITE 100
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City | TULSA
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State | OK
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Zip | 74105-7141
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Country | US
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Telephone | 918-743-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 5563 S LEWIS AVE SUITE 100
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City | TULSA
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State | OK
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Zip | 74105-7141
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Country | US
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Telephone | 918-743-5552
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OFFICER
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Name | MR. STEVE S THOMAS
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Credential |
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Telephone | 918-743-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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