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General NPI Number Information
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NPI Number | 1821453515
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Entity Type | Organization
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Legal Business Name | TRUSTED NEURO, LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 1308 ROBINSON RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-6118
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Country | US
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Telephone | 866-782-1184
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Fax | 877-241-5672
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Provider Business Mailing Address
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Address Line | 1308 ROBINSON RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-6118
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Country | US
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Telephone | 866-782-1184
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Fax | 877-241-5672
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Authorized Official
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Title or Position | NEUROPHYSIOLOGIST/OWNER
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Name | JENNIFER LEGLER
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Credential |
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Telephone | 866-782-1184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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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 | 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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