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Headache Center Nola, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
HEADACHE CENTER NOLA, LLC13064554982020-07-24
Entity TypeOrganization
Provider OrganizationHEADACHE CENTER NOLA, LLC
Practice Office Address2221 CLEARVIEW PKWY STE 203
METAIRIE, LA US
Practice Office Telephone6013660855
Practice Office Fax6018989833
Mailing AddressPO BOX 3489
JACKSON, MS 392073489 US
Business Telephone6013660855
Business Fax6018989833
Authorized OfficialCHRISTINA TREPPENDAHL, PRESIDENT/OWNER
6013660855
HPT Codes
CodeLicense NoState
363L00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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