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General NPI Number Information
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NPI Number | 1235073909
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Entity Type | Organization
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Legal Business Name | INTRANERVE NEUROSCIENCE HOLDINGS, LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 24 S WEBER ST STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1928
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Country | US
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Telephone | 866-226-8576
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 KEYSTONE AVE
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City | NORTHBROOK
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State | IL
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Zip | 60062-3688
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Country | US
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Telephone | 312-771-2014
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Fax |
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Authorized Official
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Title or Position | IONM
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Name | BAILEY RUTH ONIXT
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Credential |
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Telephone | 312-771-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State |
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