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General NPI Number Information
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NPI Number | 1073649646
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Entity Type | Organization
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Legal Business Name | NEUROMUSCULAR MEDICAL ASSOCIATION, LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3001 19TH STREET
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City | MARAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-469-9641
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Fax | 985-340-7078
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Provider Business Mailing Address
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Address Line | 3001 19TH ST
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City | METAIRIE
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State | LA
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Zip | 70002-4906
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Country | US
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Telephone | 504-469-9641
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Fax | 985-340-7078
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DANA BRADY
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Credential |
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Telephone | 225-224-8096
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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 |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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