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Organization

NA

Active
Other names
NHC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NA NA DC (CEO)
(555) 555-5555
Entity
Organization

Contact information

Practice address
3436 MAGAZINE ST # 7109, NEW ORLEANS, LA 70115-2413
(504) 224-9678
Mailing address
3436 MAGAZINE ST, NEW ORLEANS, LA 70115-2480
(555) 555-5555

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770906182
PROVIDER NPI
LA
Enumeration date
11/25/2019
Last updated
02/11/2026
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