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General NPI Number Information
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NPI Number | 1093659708
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Entity Type | Organization
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Legal Business Name | BRAIN HEALTH USA PC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 221 1ST AVE W STE 200
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City | SEATTLE
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State | WA
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Zip | 98119-4223
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Country | US
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Telephone | 877-515-8113
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Fax | 877-538-2102
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Provider Business Mailing Address
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Address Line | PO BOX 451249
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City | LOS ANGELES
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State | CA
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Zip | 90045-8513
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Country | US
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Telephone | 877-515-8113
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Fax | 877-538-2102
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Authorized Official
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Title or Position | CEO
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Name | EHAB YACOUB
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Credential | MD
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Telephone | 877-515-8113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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