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General NPI Number Information
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NPI Number | 1891165577
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Entity Type | Organization
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Legal Business Name | NERVESAFE
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 1651 QUEBEC ST
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City | DENVER
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State | CO
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Zip | 80220-1963
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Country | US
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Telephone | 303-880-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 QUEBEC ST
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City | DENVER
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State | CO
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Zip | 80220-1963
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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 | PRESIDENT
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Name | ERVIN CABALLES
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Credential | CNIM
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Telephone | 303-880-1429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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