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General NPI Number Information
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NPI Number | 1801152426
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Entity Type | Organization
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Legal Business Name | ADVANCED NEURO SOLUTIONS
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 9521 B RIVERSIDE PARKWAY #338
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City | TULSA
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State | OK
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Zip | 74137
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Country | US
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Telephone | 918-895-7680
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Fax | 918-236-4646
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Provider Business Mailing Address
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Address Line | PO BOX 649209
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City | DALLAS
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State | TX
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Zip | 75264-9209
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Country | US
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Telephone | 918-895-7680
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Fax | 918-236-4646
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Authorized Official
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Title or Position | AUTHORZIED OFFICAL
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Name | SONYA WOOD
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Credential |
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Telephone | 918-895-7680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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