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General NPI Number Information
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NPI Number | 1801649645
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Entity Type | Organization
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Legal Business Name | ADVANCED NEURODIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1251 S CEDAR CREST BLVD STE 212B
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City | ALLENTOWN
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State | PA
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Zip | 18103-6214
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Country | US
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Telephone | 610-662-1583
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Fax | 833-450-0378
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Provider Business Mailing Address
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Address Line | 1251 S CEDAR CREST BLVD STE 212B
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City | ALLENTOWN
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State | PA
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Zip | 18103-6214
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Country | US
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Telephone | 484-224-7973
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Fax | 833-450-0378
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD J GRABINSKI
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Credential | MSPT
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Telephone | 484-224-7973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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