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General NPI Number Information
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NPI Number | 1447527452
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Entity Type | Organization
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Legal Business Name | CLINICAL NEUROSCIENCE SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 6750 TURKEY LAKE RD SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32819-4736
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Country | US
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Telephone | 407-903-1680
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Fax | 407-903-1578
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Provider Business Mailing Address
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Address Line | 6750 TURKEY LAKE RD SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32819-4736
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Country | US
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Telephone | 407-903-1680
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Fax | 407-903-1578
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Authorized Official
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Title or Position | COO
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Name | MR. DANIEL KEARNEY
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Credential |
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Telephone | 407-903-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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