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General NPI Number Information
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NPI Number | 1982439956
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Entity Type | Individual
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Provider Name | TROY JAMES CHENEVERT JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 09/07/2024
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Last Update Date | 09/07/2024
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Provider Practice Location Address
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Address Line | 4430 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70006-5329
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Country | US
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Telephone | 504-433-7250
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Fax | 504-433-7339
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Provider Business Mailing Address
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Address Line | 118 ROSEWOOD DR
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City | METAIRIE
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State | LA
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Zip | 70005-3934
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Country | US
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Telephone | 337-781-9931
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10604
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License Number State | LA
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