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General NPI Number Information
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NPI Number | 1700010600
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Entity Type | Organization
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Legal Business Name | SUPERIOR HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 3501 SEVERN AVE SUITE 8
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City | METAIRIE
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State | LA
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Zip | 70002-3451
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Country | US
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Telephone | 504-835-0565
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Fax | 504-835-0985
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Provider Business Mailing Address
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Address Line | 3501 SEVERN AVE SUITE 8
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City | METAIRIE
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State | LA
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Zip | 70002-3451
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Country | US
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Telephone | 504-835-0565
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Fax | 504-835-0985
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELIZABETH ANN SPADAFORA
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Credential | DC
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Telephone | 504-835-0565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1412
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1395
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 025275
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License Number State | LA
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