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General NPI Number Information
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NPI Number | 1790117372
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Entity Type | Organization
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Legal Business Name | NOLA INTEGRATED HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 101 ROBERT E LEE BLVD SUITE 301
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City | NEW ORLEANS
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State | LA
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Zip | 70124-2560
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Country | US
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Telephone | 504-288-3888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2272
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City | MANDEVILLE
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State | LA
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Zip | 70470-2272
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Country | US
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Telephone | 504-288-3888
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Fax |
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Authorized Official
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Title or Position | MANAGER/DIRECTOR
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Name | MR. NELSON JAMES CURTIS III
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Credential |
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Telephone | 504-723-8399
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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 | 1572
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License Number State | LA
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