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General NPI Number Information
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NPI Number | 1174697858
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Entity Type | Organization
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Legal Business Name | NEURODIAGNOSTICS INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 1725 HARRODSBURG RD STE 100
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City | LEXINGTON
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State | KY
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Zip | 40504-3601
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Country | US
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Telephone | 859-278-7226
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Fax | 859-276-1540
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Provider Business Mailing Address
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Address Line | 1725 HARRODSBURG RD STE 100
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City | LEXINGTON
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State | KY
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Zip | 40504-3601
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Country | US
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Telephone | 859-278-7226
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Fax | 859-276-1540
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | MR. JASON S. HARRIS
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Credential | M.D.
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Telephone | 859-278-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 14905
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 44421
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License Number State | KY
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