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General NPI Number Information
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NPI Number | 1881098242
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Entity Type | Organization
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Legal Business Name | NEURO THERAPY SYSTEMS
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1701 BASSETT AVE
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City | EL PASO
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State | TX
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Zip | 79901-1800
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Country | US
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Telephone | 503-798-3930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 810
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City | CANUTILLO
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State | TX
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Zip | 79835-0810
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Country | US
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Telephone | 503-798-3930
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHRISTINE DURFEE
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Credential | PH.D, LPC-S, LPCC
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Telephone | 503-798-3930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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