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General NPI Number Information
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NPI Number | 1346647153
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Entity Type | Organization
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Legal Business Name | NEUROSOUND, INC.
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 10755 SCRIPPS POWAY PARKWAY SUITE 581
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City | SAN DIEGO
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State | CA
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Zip | 92131
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Country | US
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Telephone | 858-433-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 10755 SCRIPPS POWAY PARKWAY SUITE 581
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City | SAN DIEGO
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State | CA
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Zip | 92131
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Country | US
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Telephone | 858-433-7626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. POLLY ELIZABETH AMARAL
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Credential | AU.D., CNIM
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Telephone | 240-298-3070
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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 | AU1842
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License Number State | CA
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