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General NPI Number Information
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NPI Number | 1699583880
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Entity Type | Organization
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Legal Business Name | SPIN NEUROSCIENCE LLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 13723 126TH ST NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-7018
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Country | US
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Telephone | 401-573-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 13723 126TH ST NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-7018
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Country | US
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Telephone | 401-573-5312
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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. SEAN DEONI
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Credential | PHD
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Telephone | 401-573-5312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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