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General NPI Number Information
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NPI Number | 1659184463
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Entity Type | Organization
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Legal Business Name | IMPACT NEUROLOGY AND RECOVERY LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2775 S MORELAND BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-2397
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Country | US
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Telephone | 216-751-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 S MORELAND BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-2397
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Country | US
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Telephone | 216-751-8988
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUCHLIN MCKEIGAN
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Credential | DC
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Telephone | 440-725-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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