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General NPI Number Information
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NPI Number | 1518875350
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Entity Type | Organization
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Legal Business Name | NEUROWAY TMS
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 906 PALM BLVD S
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City | NICEVILLE
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State | FL
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Zip | 32578-2603
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Country | US
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Telephone | 850-496-8780
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Fax | 850-496-8780
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Provider Business Mailing Address
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Address Line | 132 MONAHAN DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-3714
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Country | US
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Telephone | 850-496-8780
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES CLANCY
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Credential | PA-C
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Telephone | 850-496-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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