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General NPI Number Information
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NPI Number | 1548387772
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Entity Type | Organization
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Legal Business Name | HEALING HEALTH CENTER OF HAMMOND L.L.C.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 1004 E THOMAS ST
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City | HAMMOND
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State | LA
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Zip | 70401-2737
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Country | US
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Telephone | 985-365-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 E THOMAS ST
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City | HAMMOND
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State | LA
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Zip | 70401-2737
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Country | US
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Telephone | 985-365-0001
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Fax | 985-345-5528
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Authorized Official
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Title or Position | C.E.O
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Name | LEIF LLOYD LENSGRAF
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Credential | D C
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Telephone | 985-365-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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