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General NPI Number Information
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NPI Number | 1083565469
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Entity Type | Organization
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Legal Business Name | NEUROFOCUS PLLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2905 ROSS DR APT M23
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City | FORT COLLINS
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State | CO
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Zip | 80526-6936
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Country | US
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Telephone | 561-635-6153
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Fax |
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Provider Business Mailing Address
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Address Line | 2905 ROSS DR APT M23
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City | FORT COLLINS
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State | CO
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Zip | 80526-6936
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Country | US
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Telephone | 561-635-6153
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | EUNICE CORDOBA
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Credential | MD
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Telephone | 561-635-6153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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