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General NPI Number Information
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NPI Number | 1568274611
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Entity Type | Individual
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Provider Name | MICHAEL FORD LMT, RA, RH
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Gender | Male
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 70314 L ST
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City | COVINGTON
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State | LA
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Zip | 70433-5201
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Country | US
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Telephone | 504-382-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 70314 L ST
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City | COVINGTON
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State | LA
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Zip | 70433-5201
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Country | US
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Telephone | 504-382-1167
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1929
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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