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General NPI Number Information
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NPI Number | 1366500027
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Entity Type | Organization
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Legal Business Name | HAIK & TERRELL LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 2800 VETERANS BLVD SUITE 209
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City | METAIRIE
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State | LA
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Zip | 70002-6176
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Country | US
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Telephone | 504-833-2532
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Fax | 504-833-9232
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Provider Business Mailing Address
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Address Line | 2800 VETERANS BLVD SUITE 209
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City | METAIRIE
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State | LA
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Zip | 70002-6176
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Country | US
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Telephone | 504-833-2532
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Fax | 504-833-9232
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | MRS. IRENE ADELE SONGY
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Credential |
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Telephone | 504-833-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18190845
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License Number State | LA
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