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General NPI Number Information
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NPI Number | 1992958326
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Entity Type | Organization
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Legal Business Name | THE BONE & JOINT CLINIC OF HAMMOND, LLC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 1000 J W DAVIS DR
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City | HAMMOND
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State | LA
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Zip | 70403-5908
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Country | US
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Telephone | 985-350-6505
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Fax | 985-350-6509
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Provider Business Mailing Address
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Address Line | 1000 J W DAVIS DR
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City | HAMMOND
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State | LA
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Zip | 70403-5908
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Country | US
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Telephone | 985-350-6505
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Fax | 985-350-6509
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Authorized Official
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Title or Position | OWNER / DOCTOR
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Name | DR. BRETT JOSEPH CHIASSON
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Credential | M.D.
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Telephone | 985-350-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD.021220
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License Number State | LA
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