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General NPI Number Information
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NPI Number | 1265871925
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Entity Type | Organization
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Legal Business Name | REAL TIME NEUROMONITORING ASSOCIATES NV, PC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 102 APPIA PL
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City | HENDERSON
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State | NV
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Zip | 89011-2576
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Country | US
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Telephone | 615-346-8182
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Fax | 615-829-8970
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Provider Business Mailing Address
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Address Line | 336 22ND AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1844
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Country | US
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Telephone | 615-346-8182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE R LEE III
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Credential | M.D.
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Telephone | 615-346-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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