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General NPI Number Information
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NPI Number | 1700749835
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Entity Type | Organization
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Legal Business Name | PEAK NEUROLOGY CORP PC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6285 LEHMAN DRIVE #100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1497
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Country | US
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Telephone | 719-445-9902
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Fax | 719-387-0312
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Provider Business Mailing Address
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Address Line | 5770 FLINTRIDGE DRIVE STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1870
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Country | US
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Telephone | 719-445-9902
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Fax | 719-387-0312
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Authorized Official
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Title or Position | OWNER-PHYSICIAN
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Name | BRAD PRIEBE
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Credential | D.O.
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Telephone | 719-445-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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