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General NPI Number Information
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NPI Number | 1881831543
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Entity Type | Organization
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Legal Business Name | NEUROLOGY AND SLEEP CENTER
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 301 4TH ST STE F MEDICAL TERRACE PARKING OFFICE
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8423
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Country | US
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Telephone | 318-484-3535
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Fax | 318-484-3536
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Provider Business Mailing Address
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Address Line | 211 4TH ST BOX 30125
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-484-3535
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Fax | 318-484-3536
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD A ZEIBO
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Credential | MD
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Telephone | 318-344-9099
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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 | MD.201505
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License Number State | LA
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