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General NPI Number Information
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NPI Number | 1427397793
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Entity Type | Organization
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Legal Business Name | INTEGRATED PAIN AND NEUROSCIENCE
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 2801 NAPOLEON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6915
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Country | US
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Telephone | 504-300-9020
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Fax | 504-300-9021
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Provider Business Mailing Address
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Address Line | 2801 NAPOLEON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6915
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Country | US
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Telephone | 504-300-9020
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Fax | 504-300-9021
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Authorized Official
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Title or Position | ASSISTANT PRACTICE MANAGER
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Name | CARISSA COAKER
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Credential |
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Telephone | 504-300-9020
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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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