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General NPI Number Information
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NPI Number | 1043908064
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROMONITORING LLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5222 SPRUCE ST
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City | BELLAIRE
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State | TX
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Zip | 77401-3311
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Country | US
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Telephone | 844-868-1971
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Fax | 469-453-3374
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Provider Business Mailing Address
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Address Line | 5222 SPRUCE ST
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City | BELLAIRE
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State | TX
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Zip | 77401-3311
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Country | US
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Telephone | 844-868-1971
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Fax | 469-453-3374
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Authorized Official
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Title or Position | DOO- MANAGING MEMBER
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Name | BRYAN HASSE
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Credential |
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Telephone | 713-598-4336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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