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General NPI Number Information
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NPI Number | 1891815122
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Entity Type | Organization
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Legal Business Name | RS NEURO MEDICAL, P.C.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 366 BROADWAY BUILDING #5
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City | AMITYVILLE
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State | NY
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Zip | 11701-2711
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Country | US
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Telephone | 631-841-6190
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Fax | 631-789-0600
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Provider Business Mailing Address
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Address Line | 18 CORONA DR
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City | BETHPAGE
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State | NY
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Zip | 11714-4505
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Country | US
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Telephone | 631-841-6190
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Fax | 631-789-0600
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Authorized Official
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Title or Position | BOARD CERTIFIED NEUROLOGY
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Name | JASJIT SINGH
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Credential | D.O.
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Telephone | 631-841-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 199219
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License Number State | NY
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