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General NPI Number Information
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NPI Number | 1033773031
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Entity Type | Organization
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Legal Business Name | RESTOR NEURAL HEALTH LLC
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 2340 E TRINITY MILLS RD STE 300
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City | CARROLLTON
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State | TX
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Zip | 75006-1947
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Country | US
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Telephone | 214-709-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD STE 300
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City | CARROLLTON
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State | TX
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Zip | 75006-1947
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Country | US
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Telephone | 214-709-1280
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DENNIS OZMENT
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Credential |
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Telephone | 972-417-2823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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