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General NPI Number Information
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NPI Number | 1881711596
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Entity Type | Organization
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Legal Business Name | ALL NEUROLOGICAL SERVICES PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2310 65TH ST STE 1
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City | BROOKLYN
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State | NY
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Zip | 11204-4089
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Country | US
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Telephone | 718-376-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 65 STREET 1 FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11204
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Country | US
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Telephone | 718-376-3200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGOR KHELEMSKY
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Credential |
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Telephone | 718-376-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 196963
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License Number State | NY
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