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General NPI Number Information
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NPI Number | 1164210332
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Entity Type | Organization
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Legal Business Name | NEUROTMS LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 309 E FARWELL RD
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City | SPOKANE
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State | WA
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Zip | 99218-8210
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Country | US
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Telephone | 509-218-0413
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Fax |
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Provider Business Mailing Address
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Address Line | 319 W HASTINGS RD
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City | SPOKANE
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State | WA
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Zip | 99218-5012
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Country | US
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Telephone | 509-218-0413
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ROBERT L ALLEN
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Credential |
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Telephone | 509-218-0413
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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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