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General NPI Number Information
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NPI Number | 1235560723
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Entity Type | Organization
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Legal Business Name | NEURO ANALYSIS DIAGNOSTICS
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 2315 E. MAGNOLIA ST.
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City | ANGLETON
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State | TX
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Zip | 77515
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Country | US
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Telephone | 979-849-7704
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Fax | 832-365-6065
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Provider Business Mailing Address
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Address Line | 20403 UNIVERSITY BLVD STE. 300
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City | SUGAR LAND
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State | TX
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Zip | 77478-4976
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Country | US
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Telephone | 832-362-7875
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Fax | 832-365-6065
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY CARLTON ALDRIDGE
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Credential | BS, RRT
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Telephone | 281-302-5983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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