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General NPI Number Information
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NPI Number | 1467222604
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Entity Type | Organization
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Legal Business Name | CEREBRALCARE CONCIERGE PLLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 1906 GLEN ECHO RD UNIT 150621
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City | NASHVILLE
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State | TN
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Zip | 37215-2991
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Country | US
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Telephone | 615-437-3132
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Fax | 615-235-1255
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Provider Business Mailing Address
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Address Line | 1906 GLEN ECHO RD UNIT 150621
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City | NASHVILLE
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State | TN
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Zip | 37215-2991
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Country | US
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Telephone | 615-437-3132
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Fax | 615-235-1255
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DR. TIA ARYAL
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Credential | MD
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Telephone | 615-437-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry 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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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