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General NPI Number Information
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NPI Number | 1265783237
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Entity Type | Organization
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Legal Business Name | US NEURO SPECIALISTS PLLC
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 3146 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-8002
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Country | US
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Telephone | 903-732-6102
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Fax |
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Provider Business Mailing Address
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Address Line | 3146 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-8002
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Country | US
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Telephone | 903-732-6102
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SUNIL KUMAR REDDY THUMMALA
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Credential | MD
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Telephone | 903-732-6102
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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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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | N9970
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License Number State | TX
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