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General NPI Number Information
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NPI Number | 1952949067
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Entity Type | Organization
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Legal Business Name | NEURORELIEF LLC
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Dates
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Enumeration Date | 12/19/2019
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD STE 505
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1829
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Country | US
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Telephone | 818-416-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD STE 505
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1829
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Country | US
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Telephone | 818-416-9696
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUSTIN BRENDLEN HARRIS
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Credential | MD
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Telephone | 717-747-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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