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General NPI Number Information
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NPI Number | 1851579171
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Entity Type | Organization
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Legal Business Name | NEUROSURGERY P.A.
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 5250 W 94TH TER
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-2502
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Country | US
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Telephone | 913-649-8600
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Fax | 913-451-2917
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Provider Business Mailing Address
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Address Line | 5250 W 94TH TER
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-2502
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Country | US
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Telephone | 913-649-8600
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Fax | 913-451-2917
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CLIFFORD M. FALL
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Credential | MD
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Telephone | 913-649-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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