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General NPI Number Information
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NPI Number | 1730367731
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Entity Type | Organization
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Legal Business Name | CLINICAL NEUROPHYSIOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 5001 BAUM BLVD SUITE 530
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City | PITTSBURGH
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State | PA
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Zip | 15213-1853
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Country | US
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Telephone | 412-681-9990
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Fax | 412-681-9994
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Provider Business Mailing Address
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Address Line | 5001 BAUM BLVD SUITE 530
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City | PITTSBURGH
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State | PA
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Zip | 15213-1853
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Country | US
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Telephone | 412-681-9990
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Fax | 412-681-9994
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT J SCLABASSI
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Credential | MD, PHD
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Telephone | 412-681-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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