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General NPI Number Information
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NPI Number | 1902112014
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Entity Type | Organization
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Legal Business Name | NEURO-CONSULTANTS.PC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 110 N ROBINSON ST SUITE 204
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City | RICHMOND
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State | VA
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Zip | 23220-4459
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Country | US
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Telephone | 804-612-8418
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Fax | 804-612-8417
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Provider Business Mailing Address
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Address Line | 110 N ROBINSON ST SUITE 204
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City | RICHMOND
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State | VA
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Zip | 23220-4459
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Country | US
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Telephone | 804-612-8418
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Fax | 804-612-8417
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. UMA BASAVARAJ
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Credential |
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Telephone | 804-745-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0195722
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License Number State | VA
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