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General NPI Number Information
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NPI Number | 1922271865
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Entity Type | Organization
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Legal Business Name | AMERICAN BACK INSTITUTE OF GREATER NEW ORLEANS INC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 2404 EDENBORN AVE
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City | METAIRIE
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State | LA
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Zip | 70001-1817
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Country | US
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Telephone | 504-833-2225
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Fax | 504-832-2253
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Provider Business Mailing Address
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Address Line | 1920 POPLAR ST
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City | METAIRIE
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State | LA
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Zip | 70005
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Country | US
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Telephone | 504-833-2225
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Fax | 504-834-1391
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | DR. ROBERT A LIZANA
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Credential | DC
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Telephone | 504-833-2225
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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 | 628
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License Number State | LA
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