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General NPI Number Information
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NPI Number | 1861939068
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Entity Type | Organization
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Legal Business Name | VERTEBRAL NEURODIAGNOSTIC ASSOCIATES LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 7820 PARAGON CIR APT 113
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City | ELKRIDGE
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State | MD
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Zip | 21075-6546
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Country | US
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Telephone | 443-472-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 7820 PARAGON CIR APT 113
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City | ELKRIDGE
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State | MD
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Zip | 21075-6546
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Country | US
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Telephone | 443-472-0497
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | MR. ASIF SATTAR
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Credential | MD, CNIM
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Telephone | 443-472-0497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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