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General NPI Number Information
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NPI Number | 1831617737
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Entity Type | Organization
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Legal Business Name | NEUROCOVERY, LLC
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 648 CRESTWOOD BLVD
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City | COVINGTON
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State | LA
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Zip | 70433-6521
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Country | US
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Telephone | 985-805-2555
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Fax | 985-400-5303
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Provider Business Mailing Address
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Address Line | 648 CRESTWOOD DRIVE
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-805-2555
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Fax | 985-400-5303
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RAMY EL KHOURY
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Credential | M.D.
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Telephone | 281-236-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational 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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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