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General NPI Number Information
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NPI Number | 1003115973
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF NEURAL REGENERATION & TISSUE ENGINEERING
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 05/25/2024
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Provider Practice Location Address
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Address Line | 920 E 800 N STE 202
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City | OREM
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State | UT
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Zip | 84097-4257
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Country | US
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Telephone | 650-646-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 920 E 800 N STE 202
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City | OREM
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State | UT
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Zip | 84097-4257
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Country | US
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Telephone | 650-646-4044
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RICHARD J. MCMURTREY
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Credential | M.D.
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Telephone | 650-646-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | 49619
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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