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General NPI Number Information
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NPI Number | 1972962694
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Entity Type | Organization
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Legal Business Name | RELIEF PLUS CLINIC LLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 109 E SAINT PETER ST
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City | CARENCRO
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State | LA
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Zip | 70520
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Country | US
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Telephone | 337-565-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 109 E SAINT PETER ST
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City | CARENCRO
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State | LA
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Zip | 70520-4008
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Country | US
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Telephone | 337-565-4200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN JOHNSTON
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Credential | DC
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Telephone | 337-565-4200
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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 | 1479
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License Number State | LA
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