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General NPI Number Information
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NPI Number | 1598858029
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Entity Type | Organization
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Legal Business Name | TRAXLER HEALTHCARE INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 505 NORTH 18TH ST. SUITE B
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-323-8729
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Fax | 318-323-8867
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Provider Business Mailing Address
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Address Line | P.O. BOX 2537
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City | MONROE
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State | LA
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Zip | 71207
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Country | US
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Telephone | 318-323-8729
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Fax | 318-323-8867
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL NEAL TRAXLER
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Credential | DC.
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Telephone | 318-323-8729
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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 | 1406
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License Number State | LA
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