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General NPI Number Information
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NPI Number | 1063043503
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Entity Type | Organization
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Legal Business Name | FOREFRONT MEDICAL SOLUTIONS, LLC.
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 7401 BOCA RATON DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-3265
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Country | US
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Telephone | 214-271-7510
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Fax | 972-692-8124
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Provider Business Mailing Address
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Address Line | 7401 BOCA RATON DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-3265
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Country | US
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Telephone | 214-271-7510
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Fax | 972-692-8124
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. IGOR RAKOVICHIK
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Credential | ABPMR, ABIHM
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Telephone | 972-365-9842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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