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General NPI Number Information
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NPI Number | 1154292621
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Entity Type | Organization
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Legal Business Name | GALJOUR ENTERPRISES LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 187 GREENBRIER BLVD STE B
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City | COVINGTON
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State | LA
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Zip | 70433-7299
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Country | US
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Telephone | 985-871-1189
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Fax | 985-871-1184
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Provider Business Mailing Address
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Address Line | 187 GREENBRIER BLVD STE B
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City | COVINGTON
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State | LA
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Zip | 70433-7299
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Country | US
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Telephone | 985-871-1189
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Fax | 985-871-1184
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAN GALJOUR III
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Credential | D.C.
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Telephone | 985-291-3207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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