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General NPI Number Information
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NPI Number | 1821472341
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CLINIC OF JACKSONVILLE LLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 9838 OLD BAYMEADOWS RD STE 377
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8101
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Country | US
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Telephone | 904-570-4444
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Fax | 512-233-5299
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Provider Business Mailing Address
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Address Line | 9838 OLD BAYMEADOWS RD STE 377
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8101
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Country | US
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Telephone |
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Fax | 512-233-5299
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJUL PARIKH
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Credential | M.D.
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Telephone | 512-296-4126
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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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