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General NPI Number Information
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NPI Number | 1184862633
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Entity Type | Organization
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Legal Business Name | JASON J TIEL DC PLLC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2801 KALISTE SALOOM RD STE 200
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City | LAFAYETTE
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State | LA
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Zip | 70508-7181
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Country | US
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Telephone | 337-984-8605
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Fax | 337-989-7036
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Provider Business Mailing Address
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Address Line | 2801 KALISTE SALOOM RD STE 200
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City | LAFAYETTE
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State | LA
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Zip | 70508-7181
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Country | US
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Telephone | 337-984-8605
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Fax | 337-989-7036
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. JASON JAMES TIEL
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Credential | D.C.
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Telephone | 337-322-4945
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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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