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General NPI Number Information
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NPI Number | 1043145782
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Entity Type | Individual
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Provider Name | CHRISTOPHER JACQUE DELANEY
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Gender | Male
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 101 PARK WEST DR STE A
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City | SCOTT
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State | LA
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Zip | 70583-8902
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Country | US
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Telephone | 337-504-4882
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Fax | 337-504-5262
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Provider Business Mailing Address
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Address Line | PO BOX 552
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City | GRAND COTEAU
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State | LA
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Zip | 70541-0552
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Country | US
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Telephone | 337-557-5954
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 9905
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License Number State | LA
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