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General NPI Number Information
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NPI Number | 1902743412
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Entity Type | Organization
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Legal Business Name | PIEDMONT NEUROSCIENCE CENTER
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 3645 GRAND AVE STE 304
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City | OAKLAND
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State | CA
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Zip | 94610-2040
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Country | US
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Telephone | 510-630-1201
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Fax | 833-941-2254
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Provider Business Mailing Address
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Address Line | 3645 GRAND AVE STE 304
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City | OAKLAND
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State | CA
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Zip | 94610-2040
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Country | US
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Telephone | 510-630-1201
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Fax | 833-941-2254
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA ELAN KULUVA
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Credential | KULUVA
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Telephone | 510-630-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry 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 | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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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 | 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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Taxonomy #4
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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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