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General NPI Number Information
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NPI Number | 1497263511
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Entity Type | Organization
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Legal Business Name | NEUROTDS LLC
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 4323 CAROTHERS PKWY STE 609
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City | FRANKLIN
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State | TN
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Zip | 37067-5922
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Country | US
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Telephone | 615-593-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 4323 CAROTHERS PKWY STE 609
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City | FRANKLIN
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State | TN
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Zip | 37067-5922
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Country | US
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Telephone | 615-593-4772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM O HORTON II
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Credential |
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Telephone | 615-593-4772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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