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General NPI Number Information
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NPI Number | 1225325038
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Entity Type | Organization
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Legal Business Name | LEGER CHIROPRACTIC
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 38384 HIGHWAY 42 SUITE B
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4011
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Country | US
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Telephone | 225-313-6996
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Fax | 225-313-6989
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Provider Business Mailing Address
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Address Line | 38384 HIGHWAY 42 SUITE B
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4011
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Country | US
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Telephone | 225-313-6996
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Fax | 225-313-6989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES W LEGER JR.
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Credential | DC
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Telephone | 225-313-6996
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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 | 1225
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License Number State | LA
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