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General NPI Number Information
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NPI Number | 1336939693
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Entity Type | Organization
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Legal Business Name | CEREBRAL UNLIMITED LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 7127 W 110TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2348
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Country | US
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Telephone | 409-916-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 7127 W 110TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2348
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Country | US
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Telephone | 913-274-9697
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. BRAD FORD
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Credential |
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Telephone | 770-999-9887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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