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General NPI Number Information
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NPI Number | 1922448307
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Entity Type | Organization
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Legal Business Name | DALLAS NEUROREHAB CENTER
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1400 PRESTON RD STE 300
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City | PLANO
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State | TX
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Zip | 75093-3603
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Country | US
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Telephone | 469-931-2229
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Fax | 214-614-4610
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Provider Business Mailing Address
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Address Line | 1400 PRESTON RD STE 300
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City | PLANO
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State | TX
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Zip | 75093-3603
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Country | US
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Telephone | 469-931-2229
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Fax | 214-614-4610
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIAN OSUJI
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Credential | PHD
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Telephone | 469-931-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 33993
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License Number State | TX
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