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General NPI Number Information
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NPI Number | 1104638162
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Entity Type | Organization
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Legal Business Name | NEURAL SCIENCE INSTITUTE INC.
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 11189 SORRENTO VALLEY RD
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City | SAN DIEGO
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State | CA
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Zip | 92121-1341
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Country | US
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Telephone | 702-659-6707
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 LA PALMA ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-5202
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Country | US
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Telephone | 858-967-1777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHNNY MILLER
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Credential |
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Telephone | 702-659-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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