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General NPI Number Information
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NPI Number | 1558434662
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Entity Type | Organization
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Legal Business Name | DONALD CHIROPRACTIC CLINIC APC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 NORTH 7TH STREET SUITE C
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City | WEST MONROE
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State | LA
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Zip | 71291
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Country | US
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Telephone | 318-322-5539
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Fax | 318-322-3639
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Provider Business Mailing Address
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Address Line | 1010 NORTH 7TH STREET SUITE C
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City | WEST MONROE
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State | LA
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Zip | 71291
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Country | US
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Telephone | 318-322-5539
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Fax | 318-322-3639
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Authorized Official
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Title or Position | DR DANIEL DONALD PC
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Name | DANIEL JOSEPH DONALD
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Credential | DC
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Telephone | 318-322-5539
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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 | 1295
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License Number State | LA
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