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General NPI Number Information
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NPI Number | 1699674499
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Entity Type | Organization
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Legal Business Name | ENNIS NEUROMONITORING LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 2200 PHYSICIANS BLVD STE A
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City | ENNIS
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State | TX
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Zip | 75119-6248
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Country | US
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Telephone | 972-782-9090
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Fax | 972-764-8909
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Provider Business Mailing Address
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Address Line | 2071 N COLLINS BLVD STE 100
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City | RICHARDSON
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State | TX
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Zip | 75080-2696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAO ALI
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Credential |
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Telephone | 732-766-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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