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General NPI Number Information
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NPI Number | 1013419324
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Entity Type | Organization
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Legal Business Name | INSIGHT NEURODIAGNOSTICS, LLC
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE 150
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City | LEWISVILLE
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State | TX
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Zip | 75067-4147
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Country | US
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Telephone | 972-338-9149
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Fax |
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Provider Business Mailing Address
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Address Line | 4215 BELTWOOD PKWY STE 102
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City | DALLAS
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State | TX
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Zip | 75244-3235
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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 | OPERATIONS MANAGER
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Name | ABBY RANEY
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Credential |
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Telephone | 972-338-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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