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General NPI Number Information
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NPI Number | 1346699154
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR THE SCIENCE OF EMOTIONS AND CONDUCT LLC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 2175 SEDONA HILLS PKWY
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City | LAS CRUCES
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State | NM
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Zip | 88011-4135
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Country | US
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Telephone | 616-822-7036
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Fax |
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Provider Business Mailing Address
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Address Line | 2175 SEDONA HILLS PKWY
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City | LAS CRUCES
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State | NM
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Zip | 88011-4135
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Country | US
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Telephone | 616-822-7036
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | ELBIN ORELLANA
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Credential | MD
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Telephone | 616-822-7036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | MD2014-0115
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License Number State | NM
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