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General NPI Number Information
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NPI Number | 1467193300
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEUROINTERVENTIONAL INSTITUTE
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 120 N CATE ST
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City | HAMMOND
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State | LA
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Zip | 70401-3357
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Country | US
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Telephone | 985-507-5259
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N CATE ST
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City | HAMMOND
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State | LA
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Zip | 70401-3357
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Country | US
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Telephone | 985-507-5259
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ZACHARY JEFFERSON LINER
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Credential | MD
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Telephone | 985-507-5259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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