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General NPI Number Information
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NPI Number | 1487566915
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Entity Type | Organization
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Legal Business Name | EEG FOR ME LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 945 S PARK RIM CIR
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City | ANAHEIM
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State | CA
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Zip | 92807-5113
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Country | US
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Telephone | 949-649-8693
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Fax | 949-312-3961
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Provider Business Mailing Address
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Address Line | 945 S PARK RIM CIR
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City | ANAHEIM
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State | CA
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Zip | 92807-5113
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Country | US
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Telephone | 949-649-8693
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Fax | 949-312-3961
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SHANE MICHAEL BARRIOS
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Credential | R.EEG.T., CLTM, CNIM
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Telephone | 949-649-8693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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