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General NPI Number Information
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NPI Number | 1902781347
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Entity Type | Organization
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Legal Business Name | NEURAL REBOOT, INC. FBN ZION HEALING SAN DIEGO
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1207 CARLSBAD VILLAGE DR STE R
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City | CARLSBAD
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State | CA
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Zip | 92008-1958
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Country | US
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Telephone | 619-208-7215
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 CARLSBAD VILLAGE DR STE R
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City | CARLSBAD
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State | CA
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Zip | 92008-1958
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Country | US
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Telephone | 619-208-7215
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN NICHOLAS HUCK
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Credential |
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Telephone | 619-208-7215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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