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General NPI Number Information
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NPI Number | 1356093348
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Entity Type | Organization
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Legal Business Name | ALIGN INTERVENTIONAL SPINE AND JOINT
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 3434 HOUMA BLVD STE 202
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City | METAIRIE
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State | LA
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Zip | 70006-4700
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Country | US
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Telephone | 312-859-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 HOUMA BLVD STE 201
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City | METAIRIE
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State | LA
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Zip | 70006-4278
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Country | US
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Telephone | 504-547-7463
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Fax |
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Authorized Official
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Title or Position | OWNER/INTERVENTIONAL PAIN PHYSICIAN
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Name | DR. REENA SARAH JOHN
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Credential | DO
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Telephone | 504-547-7463
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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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