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General NPI Number Information
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NPI Number | 1285450049
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Entity Type | Organization
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Legal Business Name | EVEREST NEUROMONITORING
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 23850 SAN ISABEL RD
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City | INDIAN HILLS
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State | CO
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Zip | 80454
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Country | US
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Telephone | 757-763-9035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 986
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City | INDIAN HILLS
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State | CO
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Zip | 80454-0986
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Country | US
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Telephone | 757-763-9035
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Fax |
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Authorized Official
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Title or Position | OWNER/TECH
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Name | DAVID POWNER
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Credential | CNIM
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Telephone | 757-763-9035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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