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General NPI Number Information
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NPI Number | 1386454379
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Entity Type | Organization
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Legal Business Name | INLAND EMPIRE BRAIN EXPERTS CORP
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 6485 DAY ST STE 103
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City | RIVERSIDE
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State | CA
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Zip | 92507-0930
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Country | US
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Telephone | 925-597-2369
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Fax |
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Provider Business Mailing Address
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Address Line | 5260 LOCHMOOR DR
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City | RIVERSIDE
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State | CA
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Zip | 92507-8411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD FAISAL SALIM
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Credential |
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Telephone | 925-597-2369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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