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General NPI Number Information
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NPI Number | 1801608583
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Entity Type | Organization
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Legal Business Name | LOUISIANA PAIN SPECIALISTS, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3434 HOUMA BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70006-4201
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Country | US
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Telephone | 504-754-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 HESSMER AVE STE A
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City | METAIRIE
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State | LA
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Zip | 70002-7046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | CORRIE SPANO
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Credential |
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Telephone | 504-635-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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