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General NPI Number Information
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NPI Number | 1164913992
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Entity Type | Organization
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Legal Business Name | WESTBANK MEDICAL REHAB
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 851 MANHATTAN BLVD STE B
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City | HARVEY
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State | LA
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Zip | 70058-4630
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Country | US
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Telephone | 504-962-7662
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Fax | 504-962-7664
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Provider Business Mailing Address
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Address Line | 851 MANHATTAN BLVD STE B
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City | HARVEY
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State | LA
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Zip | 70058-4630
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Country | US
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Telephone | 504-962-7662
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Fax | 504-962-7664
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JACOB TAYLOR
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Credential | DC
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Telephone | 504-962-7662
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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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