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General NPI Number Information
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NPI Number | 1174029474
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Entity Type | Organization
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Legal Business Name | IMIND INTEGRATION HEALTH LLC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 4640 FORBES BLVD STE 375
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City | LANHAM
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State | MD
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Zip | 20706-4323
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Country | US
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Telephone | 240-249-0989
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Fax | 240-256-8887
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Provider Business Mailing Address
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Address Line | 4640 FORBES BLVD STE 375
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City | LANHAM
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State | MD
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Zip | 20706-4323
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Country | US
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Telephone | 240-249-0989
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Fax | 240-256-8887
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN FLYNN
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Credential | OWNER
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Telephone | 703-395-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | BH000548
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License Number State | MD
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