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General NPI Number Information
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NPI Number | 1306978119
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Entity Type | Individual
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Provider Name | CELESTE JUSTINA DOLAN MSPT, MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1430 TULANE AVE SL-50
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone | 504-988-7809
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Fax | 504-988-3971
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVE SL-50
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone | 504-988-7809
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Fax | 504-988-3971
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | DR.0063879
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 33313
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 07500R
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DR.0063879
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License Number State | CO
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