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NPI 1811875180

NPI 1811875180 : NEURONEST COLLECTIVE LLC : WASHINGTON, PA

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General NPI Number Information
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    NPI Number           |    1811875180
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEURONEST COLLECTIVE LLC 
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Dates
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    Enumeration Date     |    08/25/2025
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    380 W CHESTNUT ST 
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    City                 |    WASHINGTON
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    State                |    PA
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    Zip                  |    15301-4657
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    Country              |    US
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    Telephone            |    724-578-5643
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 791 
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    City                 |    CARNEGIE
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    State                |    PA
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    Zip                  |    15106-0791
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    Country              |    US
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    Telephone            |    412-655-4362
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CREDENTIALING
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    Name                 |     KRISTYN  BILLINGS 
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    Credential           |    
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    Telephone            |    412-655-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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