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General NPI Number Information
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NPI Number | 1255203907
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Entity Type | Organization
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Legal Business Name | QUANTUM NEURODIAGNOSTIC PHYSICIANS, PLLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 12828 WILLOW CENTRE DR STE D
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City | HOUSTON
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State | TX
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Zip | 77066-3043
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Country | US
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Telephone | 888-803-6480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 889
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City | ENGLEWOOD
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State | CO
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Zip | 80151-0889
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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 | VICE PRESIDENT
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Name | ANDREA HEIMANN
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Credential | B.S.R. EEG T
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Telephone | 720-490-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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