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General NPI Number Information
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NPI Number | 1841306412
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Entity Type | Organization
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Legal Business Name | PAJARO VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 64 ASPEN WAY STE 101
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City | WATSONVILLE
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State | CA
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Zip | 95076-3084
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Country | US
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Telephone | 831-786-1660
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Fax | 831-786-1660
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Provider Business Mailing Address
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Address Line | 64 ASPEN WAY STE 101
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City | WATSONVILLE
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State | CA
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Zip | 95076-3084
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Country | US
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Telephone | 831-786-1660
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Fax | 831-786-1660
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MISS ROSEMARY AGUILAR
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Credential |
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Telephone | 831-786-1660
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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 |
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License Number State | CA
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