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General NPI Number Information
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NPI Number | 1174099568
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 3434 HOUMA BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70006-4201
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Country | US
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Telephone | 504-635-2115
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Fax | 504-304-9575
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Provider Business Mailing Address
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Address Line | 3434 HOUMA BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70006-4201
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Country | US
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Telephone | 504-459-4070
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Fax | 504-304-9575
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Authorized Official
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Title or Position | OWNER
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Name | SUNEIL JOLLY
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Credential |
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Telephone | 504-909-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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