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General NPI Number Information
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NPI Number | 1316353394
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL NEUROREHABILITATION INSTITUTE
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1447 YORK RD STE 508
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6022
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Country | US
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Telephone | 410-828-4629
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Fax | 410-828-4783
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Provider Business Mailing Address
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Address Line | 1447 YORK RD STE 508
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6022
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Country | US
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Telephone | 410-828-4629
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Fax | 410-828-4783
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL BECKER
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Credential | M.D.
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Telephone | 410-828-4629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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