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General NPI Number Information
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NPI Number | 1396095535
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Entity Type | Organization
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Legal Business Name | ALL THE WAY HEALTH LLC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 8039 LINE AVE STE C
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City | SHREVEPORT
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State | LA
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Zip | 71106-5180
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Country | US
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Telephone | 318-780-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 VENUS DR
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City | BOSSIER CITY
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State | LA
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Zip | 71112-4348
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Country | US
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Telephone | 318-780-0507
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIMBERLY L GRIGGS
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Credential | DC
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Telephone | 318-780-0507
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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 | 1660
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License Number State | LA
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