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General NPI Number Information
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NPI Number | 1023979630
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Entity Type | Organization
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Legal Business Name | THE NEURO DIFFERENT CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3034 PAGOSA MEADOWS DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-0532
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Country | US
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Telephone | 505-401-7944
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE R
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7845
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Country | US
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Telephone | 505-401-7944
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CYNTHIA COLLEEN REINHARDT
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Credential | CNP
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Telephone | 505-401-7944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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