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General NPI Number Information
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NPI Number | 1760424311
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Entity Type | Organization
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Legal Business Name | RACHAL AND ELISON LLC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 4224 HOUMA BLVD SUITE 150
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City | METAIRIE
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State | LA
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Zip | 70006-2933
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Country | US
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Telephone | 504-456-2691
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Fax | 504-889-1949
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Provider Business Mailing Address
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Address Line | 4224 HOUMA BLVD SUITE 150
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City | METAIRIE
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State | LA
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Zip | 70006-2933
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Country | US
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Telephone | 504-456-2691
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Fax | 504-889-1949
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | EVA DOW
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Credential |
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Telephone | 504-456-2691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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