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General NPI Number Information
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NPI Number | 1669626321
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Entity Type | Organization
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Legal Business Name | FUTURESEARCH TRIALS OF NEUROLOGY, LP
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 4201 MARATHON BLVD STE. 202
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City | AUSTIN
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State | TX
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Zip | 78756-3436
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Country | US
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Telephone | 512-380-9195
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Fax | 512-374-9600
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Provider Business Mailing Address
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Address Line | 4200 MARATHON BLVD SUITE 300
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City | AUSTIN
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State | TX
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Zip | 78756-3435
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Country | US
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Telephone | 512-380-9195
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Fax | 512-374-9600
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Authorized Official
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Title or Position | CEO
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Name | DAVID MORRISON
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Credential |
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Telephone | 512-380-9925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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