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General NPI Number Information
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NPI Number | 1407762271
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Entity Type | Organization
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Legal Business Name | NEURODIAGNOSTIC ADVANCES LLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 3476 S UNIVERSITY DR STE 470
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City | DAVIE
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State | FL
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Zip | 33328-2000
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Country | US
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Telephone | 954-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 3476 S UNIVERSITY DR STE 470
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City | DAVIE
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State | FL
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Zip | 33328-2000
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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 | COMPLIANCE OFFICER
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Name | LAURA KASSA
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Credential |
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Telephone | 904-610-4653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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