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General NPI Number Information
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NPI Number | 1992751341
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Entity Type | Organization
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Legal Business Name | INLAND NEURODIAGNOSTICS INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6350 LAUREL CANYON BLVD SUITE 370
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3200
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Country | US
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Telephone | 818-623-4404
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Fax | 818-623-4450
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Provider Business Mailing Address
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Address Line | 6350 LAUREL CANYON BLVD SUITE 370
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3200
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Country | US
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Telephone | 818-623-4404
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Fax | 818-623-4450
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MS. NUNU DARAKHVELIDZE
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Credential |
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Telephone | 818-430-6273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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