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General NPI Number Information
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NPI Number | 1689216749
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Entity Type | Individual
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Provider Name | SHELLI ALYSE LACOMBE D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 403 E MAIN ST STE 102
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City | BROUSSARD
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State | LA
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Zip | 70518-4366
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Country | US
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Telephone | 337-270-9909
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Fax | 337-270-9909
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Provider Business Mailing Address
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Address Line | 403 E MAIN ST STE 102
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City | BROUSSARD
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State | LA
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Zip | 70518-4366
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Country | US
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Telephone | 337-303-8246
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Fax | 337-270-9909
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12895
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1904
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License Number State | LA
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