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General NPI Number Information
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NPI Number | 1588529143
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Entity Type | Organization
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Legal Business Name | NERVELI, INC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 5818 BUFFRIDGE TRL
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City | DALLAS
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State | TX
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Zip | 75252-2332
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Country | US
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Telephone | 469-853-6166
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Fax | 469-853-6166
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Provider Business Mailing Address
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Address Line | 5818 BUFFRIDGE TRL
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City | DALLAS
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State | TX
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Zip | 75252-2332
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Country | US
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Telephone | 469-853-6166
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Fax | 469-853-6166
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Authorized Official
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Title or Position | CEO
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Name | LEON JACOBSON
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Credential |
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Telephone | 469-853-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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