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General NPI Number Information
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NPI Number | 1669748208
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Entity Type | Organization
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Legal Business Name | DOWNTOWN CHIROPRACTIC OF NO, INC.
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 3525 PRYTANIA ST SUITE 220
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3500
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Country | US
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Telephone | 504-899-9400
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Fax | 504-899-6775
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Provider Business Mailing Address
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Address Line | 3525 PRYTANIA ST SUITE 220
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3500
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Country | US
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Telephone | 504-899-9400
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Fax | 504-899-6775
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | WILLIAM K SOILEAU
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Credential | D.C.
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Telephone | 504-899-9400
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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 | 850
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License Number State | LA
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