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General NPI Number Information
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NPI Number | 1154864874
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Entity Type | Organization
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Legal Business Name | CENTER FOR NEUROHEALTH, INC.
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 4180 LA JOLLA VILLAGE DR STE 240
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City | LA JOLLA
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State | CA
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Zip | 92037
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Country | US
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Telephone | 866-277-2659
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Fax | 858-779-2511
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Provider Business Mailing Address
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Address Line | 4180 LA JOLLA VILLAGE DR STE 240
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City | LA JOLLA
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State | CA
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Zip | 92037-1471
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Country | US
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Telephone | 866-277-2659
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Fax | 858-779-2511
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | ALEXANDRA ORLIAC
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Credential |
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Telephone | 866-447-2551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | A124696
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License Number State | CA
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