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General NPI Number Information
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NPI Number | 1750426011
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Entity Type | Organization
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Legal Business Name | CALCASIEU SPINAL CARE, INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 2118 E PRIEN LAKE RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7876
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Country | US
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Telephone | 337-474-7700
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Fax | 337-474-7705
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Provider Business Mailing Address
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Address Line | 2118 EAST PRIEN LAKE ROAD
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City | LAKE CHARLES
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State | LA
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Zip | 70602-1567
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Country | US
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Telephone | 337-474-7700
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Fax | 337-474-7705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M DUHON
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Credential | DC
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Telephone | 337-474-7700
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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 | 1043
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License Number State | LA
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