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General NPI Number Information
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NPI Number | 1013830660
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Entity Type | Organization
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Legal Business Name | MEDICAL INTEGRATIVE SERVICES LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 1806 LINDBERG DR STE E
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City | SLIDELL
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State | LA
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Zip | 70458-8163
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Country | US
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Telephone | 769-926-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 LINDBERG DR STE E
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City | SLIDELL
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State | LA
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Zip | 70458-8163
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Country | US
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Telephone | 769-926-5781
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | ELIZABETH T SANDERS
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Credential |
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Telephone | 769-926-5781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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