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General NPI Number Information
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NPI Number | 1841032109
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Entity Type | Organization
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Legal Business Name | THE BRAIN ARTISAN LLC
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 06/08/2024
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Provider Practice Location Address
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Address Line | 1120 NASA PKWY STE 220B
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City | HOUSTON
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State | TX
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Zip | 77058-3342
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Country | US
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Telephone | 832-271-4664
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Fax |
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Provider Business Mailing Address
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Address Line | 15310 PENN HILLS LN
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City | HOUSTON
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State | TX
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Zip | 77062-3529
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Country | US
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Telephone | 281-786-7932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER ROST
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Credential |
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Telephone | 281-786-7932
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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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