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General NPI Number Information
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NPI Number | 1508937293
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC & SPORTS THERAPY OF METAIRIE
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 701 METAIRIE RD STE 1A 202
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City | METAIRIE
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State | LA
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Zip | 70005
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Country | US
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Telephone | 504-831-3227
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Fax | 504-831-3284
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Provider Business Mailing Address
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Address Line | 701 METAIRIE RD STE 1A 202
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City | METAIRIE
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State | LA
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Zip | 70005
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Country | US
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Telephone | 504-831-3227
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Fax | 504-831-3284
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DAVID J WARE
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Credential | PT
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Telephone | 504-831-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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