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General NPI Number Information
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NPI Number | 1487986931
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Entity Type | Individual
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Provider Name | ALEJANDRO ANTONIO BOCHM-CABANAS DC
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Gender | Male
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 1304 BERTRAND DR SUITE B3
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City | LAFAYETTE
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State | LA
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Zip | 70506-9107
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Country | US
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Telephone | 337-706-7878
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Fax | 337-706-7898
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Provider Business Mailing Address
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Address Line | 1304 BERTRAND DR STE B3
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City | LAFAYETTE
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State | LA
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Zip | 70506-9102
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Country | US
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Telephone | 337-984-5852
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Fax | 337-984-5851
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1544
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License Number State | LA
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