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General NPI Number Information
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NPI Number | 1689614406
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Entity Type | Organization
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Legal Business Name | CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 301 QUECREEK CIR
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City | SMYRNA
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State | TN
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Zip | 37167-6834
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Country | US
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Telephone | 615-355-5510
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Fax | 615-355-8699
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Provider Business Mailing Address
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Address Line | 301 QUECREEK CIR
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City | SMYRNA
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State | TN
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Zip | 37167-6834
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Country | US
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Telephone | 615-355-5510
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Fax | 615-355-8699
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | DR. RICHARD RUBINOWICZ
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Credential | M.D.
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Telephone | 615-355-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | DO1145
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD19415
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License Number State | TN
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