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General NPI Number Information
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NPI Number | 1841627726
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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 | 10/08/2013
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Last Update Date | 09/14/2023
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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 | DR. DANIEL BECKER
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Credential | M.D.
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Telephone | 314-369-3574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | D0066385
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0066385
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License Number State | MD
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