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General NPI Number Information
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NPI Number | 1902980345
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CHILD AND ADULT PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 100 MEMORIAL HOSPITAL DR STE 2A
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City | MOBILE
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State | AL
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Zip | 36608-1199
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Country | US
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Telephone | 251-377-2762
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Fax | 251-344-5492
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Provider Business Mailing Address
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Address Line | 100 MEMORIAL HOSPITAL DR STE 2A
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City | MOBILE
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State | AL
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Zip | 36608-1199
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Country | US
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Telephone | 251-377-2762
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Fax | 251-344-5492
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIAS G CHALHUB
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Credential | M.D.
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Telephone | 251-344-2762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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