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General NPI Number Information
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NPI Number | 1205332426
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Entity Type | Organization
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Legal Business Name | TEXAS SYNAPTIXS IONM, LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 550 N CENTRAL EXPY UNIT 2586
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City | MCKINNEY
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State | TX
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Zip | 75070-0139
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Country | US
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Telephone | 303-704-4621
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N CENTRAL EXPY UNIT 2586
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City | MCKINNEY
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State | TX
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Zip | 75070-0139
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Country | US
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Telephone | 303-704-4621
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DOREEN SHINN
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Credential |
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Telephone | 303-704-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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