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General NPI Number Information
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NPI Number | 1821724527
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Entity Type | Organization
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Legal Business Name | APOLLO NEUROTRAUMA THERAPEUTICS LLC
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 4319 JAMES CASEY ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78745-1189
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Country | US
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Telephone | 713-435-9663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41826
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City | AUSTIN
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State | TX
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Zip | 78704-0031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DIMPLE KAUR
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Credential |
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Telephone | 713-435-9663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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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 | 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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