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General NPI Number Information
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NPI Number | 1023248192
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Entity Type | Organization
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Legal Business Name | BRAIN TRAINING ASSOCIATES, INC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 2301 OHIO DR STE 130
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City | PLANO
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State | TX
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Zip | 75093-3997
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Country | US
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Telephone | 972-964-8510
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Fax | 972-596-6874
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Provider Business Mailing Address
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Address Line | 2305 CHOCTAW DR
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City | PLANO
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State | TX
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Zip | 75093-3936
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Country | US
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Telephone | 972-964-8510
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Fax | 972-596-6874
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHELLE LEWIS MACALPINE
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Credential | PH.D.
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Telephone | 972-964-8510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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