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NPI 1275604084

NPI 1275604084 : RONALD EDWARD LAVOIE D.C. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1275604084
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD EDWARD LAVOIE D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    16460 KUYKENDAHL RD STE 178 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77068-2758
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    Country              |    US
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    Telephone            |    281-583-9191
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    Fax                  |    281-298-5248
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Provider Business Mailing Address
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    Address Line         |    25300 BOROUGH PARK DR STE B 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77380-3552
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    Country              |    US
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    Telephone            |    281-367-0404
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    Fax                  |    281-298-5248
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    6228
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    License Number State |    TX
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