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General NPI Number Information
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NPI Number | 1003226267
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Entity Type | Organization
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Legal Business Name | NEUROWELLNESS PLLC
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 1779 WELLS BRANCH PKWY 110B
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City | AUSTIN
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State | TX
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Zip | 78728-7090
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Country | US
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Telephone | 512-810-8948
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Fax |
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Provider Business Mailing Address
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Address Line | 1779 WELLS BRANCH PKWY 110B
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City | AUSTIN
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State | TX
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Zip | 78728-7090
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Country | US
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Telephone | 512-810-8948
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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. DENNIS BERNARD BARSON JR.
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Credential | D.O.
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Telephone | 512-464-1222
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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 | N0634
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License Number State | TX
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