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General NPI Number Information
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NPI Number | 1629514625
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Entity Type | Organization
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Legal Business Name | NEUROBEHAVIORAL CONSULTANTS, INC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 4219 HILLSBORO PIKE SUITE 306
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City | NASHVILLE
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State | TN
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Zip | 37215-3328
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Country | US
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Telephone | 615-454-6502
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Fax |
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Provider Business Mailing Address
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Address Line | 4219 HILLSBORO PIKE SUITE 306
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City | NASHVILLE
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State | TN
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Zip | 37215-3328
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Country | US
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Telephone | 615-454-6502
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SHAPIRO
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Credential | PHD
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Telephone | 615-454-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P3385
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License Number State | TN
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