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General NPI Number Information
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NPI Number | 1669719944
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Entity Type | Organization
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Legal Business Name | IN HOME NEURODIAGNOSTICS LLC
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 6230 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-4226
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Country | US
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Telephone | 317-333-7390
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Fax | 866-859-7105
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Provider Business Mailing Address
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Address Line | 6230 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-4226
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Country | US
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Telephone | 317-333-7390
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Fax | 866-859-7105
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Authorized Official
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Title or Position | MEMBER
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Name | CHRISTOPHER L DRISCOLL
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Credential | MA,REEGT, REPT
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Telephone | 317-513-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number | 4895
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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