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General NPI Number Information
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NPI Number | 1306486394
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Entity Type | Organization
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Legal Business Name | BRAINWAVE NEURODIAGNOSTICS LLC
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 4541 MEDICAL CENTER DR
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City | MCKINNEY
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State | TX
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Zip | 75069-1651
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Country | US
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Telephone | 214-686-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S COPPELL RD
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City | COPPELL
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State | TX
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Zip | 75019-2417
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Country | US
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Telephone | 214-686-9393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIBU MALAICKAL
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Credential |
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Telephone | 214-686-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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