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General NPI Number Information
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NPI Number | 1871476929
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Entity Type | Organization
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Legal Business Name | TSSC LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1615 METAIRIE RD STE 101
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City | METAIRIE
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State | LA
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Zip | 70005-3982
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Country | US
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Telephone | 504-644-4226
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Fax | 504-208-1135
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Provider Business Mailing Address
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Address Line | 1615 METAIRIE RD STE 101
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City | METAIRIE
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State | LA
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Zip | 70005-3982
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Country | US
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Telephone | 504-644-4226
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Fax | 504-208-1135
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEITH LEBLANC JR.
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Credential | MD
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Telephone | 504-644-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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