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General NPI Number Information
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NPI Number | 1750134425
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Entity Type | Organization
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Legal Business Name | NEUROSTIM TMS ARIZONA PC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 6991 E CAMELBACK RD STE D300
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2492
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Country | US
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Telephone | 480-391-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 9116 GRAVELLY LAKE DR SW STE 102
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City | LAKEWOOD
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State | WA
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Zip | 98499-3148
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Country | US
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Telephone | 253-200-5763
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Fax | 253-590-4298
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | REBECCA ALBA
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Credential |
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Telephone | 360-208-2765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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