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General NPI Number Information
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NPI Number | 1982634184
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Entity Type | Organization
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Legal Business Name | MID MICHIGAN NEUROLOGY CONSULTANTS PC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 3937 PATIENT CARE WAY STE 103
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City | LANSING
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State | MI
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Zip | 48911
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Country | US
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Telephone | 517-394-9864
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Fax | 517-394-6400
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Provider Business Mailing Address
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Address Line | 3937 PATIENT CARE WAY STE 103
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City | LANSING
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State | MI
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Zip | 48911
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Country | US
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Telephone | 517-394-9864
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Fax | 517-394-6400
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. NARENDRA R PATEL
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Credential | MD
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Telephone | 517-394-9864
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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 | JK032321
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | NP048152
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License Number State | MI
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