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General NPI Number Information
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NPI Number | 1376702704
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Entity Type | Organization
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Legal Business Name | WATKINS FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 299 BELLE TERRE BLVD STE E
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City | LA PLACE
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State | LA
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Zip | 70068-2425
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Country | US
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Telephone | 985-653-9606
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Fax | 985-653-8396
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Provider Business Mailing Address
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Address Line | 299 BELLE TERRE BLVD STE E
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City | LA PLACE
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State | LA
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Zip | 70068-2425
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Country | US
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Telephone | 985-653-9606
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Fax | 985-653-8396
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES E WATKINS II
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Credential | DC
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Telephone | 985-653-9606
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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 | 1280
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License Number State | LA
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