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General NPI Number Information
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NPI Number | 1326923954
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Entity Type | Organization
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Legal Business Name | ITCNO
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3714 AIRLINE DR
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City | METAIRIE
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State | LA
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Zip | 70001-5837
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Country | US
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Telephone | 504-799-1700
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Fax | 844-965-9465
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Provider Business Mailing Address
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Address Line | 3714 AIRLINE DR
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City | METAIRIE
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State | LA
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Zip | 70001-5837
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Country | US
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Telephone | 504-799-1700
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Fax | 844-965-9465
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DAVID GUZAN
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Credential |
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Telephone | 985-377-9877
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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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