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General NPI Number Information
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NPI Number | 1952417552
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Entity Type | Organization
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Legal Business Name | NEUROLOGY AND ELECTROMYOGRAPHY CONSULTANTS, P.A.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1400 S ORLANDO AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5543
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Country | US
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Telephone | 407-645-3151
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Fax | 407-645-2179
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Provider Business Mailing Address
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Address Line | 1400 S ORLANDO AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5543
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Country | US
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Telephone | 407-645-3151
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Fax | 407-645-2179
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD EDWARD OPPENHEIM
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Credential | M.D.
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Telephone | 407-645-3151
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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 |
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License Number State |
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