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General NPI Number Information
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NPI Number | 1942531223
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Entity Type | Organization
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Legal Business Name | NEURO ALLIANCE
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 40 WOOD COVE DR
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City | SPRING
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State | TX
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Zip | 77381-3311
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Country | US
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Telephone | 713-550-3029
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Fax |
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Provider Business Mailing Address
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Address Line | 40 WOOD COVE DR
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City | SPRING
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State | TX
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Zip | 77381-3311
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Country | US
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Telephone | 713-550-3029
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. DARON LEE CALHOUN
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Credential |
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Telephone | 713-550-3029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | TX
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