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General NPI Number Information
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NPI Number | 1477317154
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Entity Type | Organization
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Legal Business Name | NEUROREEF LABS INC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 5406 MIDDLE FISKVILLE RD APT 250
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City | AUSTIN
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State | TX
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Zip | 78751-1416
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Country | US
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Telephone | 512-712-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 5406 MIDDLE FISKVILLE RD APT 250
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City | AUSTIN
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State | TX
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Zip | 78751-1416
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Country | US
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Telephone | 512-712-8409
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SATWANT KUMAR
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Credential | MBBS, PHD
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Telephone | 512-712-8409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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