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General NPI Number Information
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NPI Number | 1508291667
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Entity Type | Organization
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Legal Business Name | NEUROTECH NEUROMONITORING, LLC
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/08/2017
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Provider Practice Location Address
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Address Line | 3511 S CLARKSON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3916
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Country | US
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Telephone | 303-351-7060
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Fax | 303-395-0826
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Provider Business Mailing Address
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Address Line | 3501 S CLARKSON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113
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Country | US
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Telephone | 303-594-7102
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Fax | 303-395-0826
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Authorized Official
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Title or Position | MANAGER
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Name | HUONG HOANG
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Credential |
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Telephone | 303-594-7102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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