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General NPI Number Information
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NPI Number | 1659292449
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Entity Type | Organization
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Legal Business Name | EARLY SPECTRUM ID LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 2919 W SWANN AVE STE 201
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City | TAMPA
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State | FL
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Zip | 33609-4050
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Country | US
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Telephone | 682-225-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 2919 W SWANN AVE STE 201
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City | TAMPA
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State | FL
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Zip | 33609-4050
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Country | US
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Telephone | 682-225-3056
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LAMAR INGULLI
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Credential | PSY.D.
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Telephone | 682-225-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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