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General NPI Number Information
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NPI Number | 1225825086
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Entity Type | Organization
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Legal Business Name | INTEGRATE DIAGNOSTICS
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 515 FAIRMOUNT AVE STE 100
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City | TOWSON
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State | MD
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Zip | 21286-8520
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Country | US
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Telephone | 443-218-3379
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Fax | 443-218-6738
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Provider Business Mailing Address
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Address Line | 217 FELTON RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6419
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Country | US
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Telephone | 443-218-3379
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Fax | 443-218-6973
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MORGAN JONES
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Credential |
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Telephone | 912-547-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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