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General NPI Number Information
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NPI Number | 1225908718
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Entity Type | Organization
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Legal Business Name | NEUROSHIELD LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 555 REPUBLIC DR
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City | PLANO
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State | TX
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Zip | 75074-5481
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Country | US
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Telephone | 512-693-1896
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Fax |
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Provider Business Mailing Address
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Address Line | 555 REPUBLIC DR
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City | PLANO
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State | TX
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Zip | 75074-5481
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS SUMMERLYN HELLER
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Credential |
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Telephone | 512-693-1896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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