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General NPI Number Information
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NPI Number | 1427679760
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Entity Type | Organization
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Legal Business Name | NEUROENHANCEMENT & COGNITIVE OPTIMIZATION ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 1028 BELLS RD STE 113
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-5845
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Country | US
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Telephone | 757-759-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 BELLS RD STE 113
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-5845
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Country | US
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Telephone | 757-759-3277
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGING PARTNER
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Name | MR. DAVID P DAY
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Credential | PA-C
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Telephone | 757-759-3277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM 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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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