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General NPI Number Information
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NPI Number | 1841597762
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROLOGY SERVICES LLC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 188 FRIES MILL RD SUITE N-3
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2015
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Country | US
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Telephone | 856-875-3565
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Fax | 856-875-3591
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Provider Business Mailing Address
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Address Line | PO BOX 8887
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-8887
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Country | US
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Telephone | 856-875-3565
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Fax | 856-375-3591
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Authorized Official
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Title or Position | OWNER
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Name | DAHLIA J IRBY
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Credential | M.D.
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Telephone | 856-875-3565
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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 | MA074102
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License Number State | NJ
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