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General NPI Number Information
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NPI Number | 1932672912
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Entity Type | Organization
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Legal Business Name | VOLUSIA NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 311 N CLYDE MORRIS BLVD STE 440
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2757
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Country | US
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Telephone | 386-562-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 311 N CLYDE MORRIS BLVD STE 440
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2757
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Country | US
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Telephone | 386-562-7224
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | FEDERICO CARLOS VINAS
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Credential | MD
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Telephone | 386-562-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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