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General NPI Number Information
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NPI Number | 1740669985
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Entity Type | Organization
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Legal Business Name | NEURO NETWORK, INC.
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 3932 ROBIN HILL RD
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011-3808
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Country | US
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Telephone | 626-429-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 556 S FAIR OAKS AVE #101-482
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City | PASADENA
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State | CA
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Zip | 91105-2656
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Country | US
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Telephone | 626-429-5800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MCPECK
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Credential | R. EEG/EP T., CLTM
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Telephone | 626-429-5800
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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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