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General NPI Number Information
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NPI Number | 1962280941
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Entity Type | Organization
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Legal Business Name | BOLAND NEUROLOGY, LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 14 W JORDAN ST STE 134
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City | PENSACOLA
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State | FL
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Zip | 32501-1740
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Country | US
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Telephone | 850-741-5990
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Fax | 850-741-5991
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Provider Business Mailing Address
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Address Line | 14 W JORDAN ST STE 134
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City | PENSACOLA
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State | FL
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Zip | 32501-1740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH FINLEY BOLAND
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Credential | DO
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Telephone | 850-741-5990
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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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