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General NPI Number Information
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NPI Number | 1578329033
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Entity Type | Organization
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Legal Business Name | RIGHTEOUS WELLNESS LLC
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 1159 FINKS HIDEAWAY RD
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City | MONROE
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State | LA
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Zip | 71203-2425
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Country | US
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Telephone | 318-450-3494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7143
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City | MONROE
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State | LA
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Zip | 71211-7143
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Country | US
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Telephone | 225-773-5617
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/ OWNER
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Name | DR. TAYLOR KYRE' NEAL
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Credential | DC
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Telephone | 225-773-5617
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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 |
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License Number State |
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