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General NPI Number Information
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NPI Number | 1568515872
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS UNIVERSITY
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 N BROADWAY 103B
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City | BALTIMORE
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State | MD
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Zip | 21205-1832
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Country | US
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Telephone | 409-750-1843
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 PARK AVE APT 903
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City | BALTIMORE
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State | MD
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Zip | 21201-5645
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Country | US
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Telephone | 409-750-1843
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Fax |
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Authorized Official
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Title or Position | FELLOW PEDIATRIC NEUROLOGY AND DEV
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Name | DR. VIVECK BALUJA
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Credential | M.D.
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Telephone | 443-923-9162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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