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General NPI Number Information
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NPI Number | 1710910732
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND NEUROLOGY, P.C.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY SUITE 150
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 720-283-6573
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Fax | 720-283-8108
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Provider Business Mailing Address
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Address Line | 7720 S BROADWAY SUITE 150
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 720-283-6573
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Fax | 720-283-8108
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES TREVOR MCNUTT
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Credential | M.D.
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Telephone | 720-283-6573
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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 | 39106
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License Number State | CO
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