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General NPI Number Information
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NPI Number | 1336199439
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Entity Type | Organization
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Legal Business Name | CLINICAL NEUROSCIENCE ASSOCIATES
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 323 N PRAIRIE AVE SUITE 200
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City | INGLEWOOD
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State | CA
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Zip | 90301-4502
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Country | US
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Telephone | 310-680-0560
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Fax | 310-680-0565
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Provider Business Mailing Address
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Address Line | 1158 26TH ST SUITE 560
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City | SANTA MONICA
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State | CA
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Zip | 90403-4698
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Country | US
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Telephone | 310-680-0560
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Fax | 310-680-0565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID N ALEXANDER
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Credential | M.D.
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Telephone | 310-419-8360
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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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