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General NPI Number Information
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NPI Number | 1023770625
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Entity Type | Organization
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Legal Business Name | OCHSNER MISSISSIPPI, LLC
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 2712 CRISWELL AVE
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City | PASCAGOULA
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State | MS
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Zip | 39567-1143
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Country | US
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Telephone | 228-762-0713
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Fax | 228-769-7484
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Provider Business Mailing Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDUARDO BENITEZ
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Credential |
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Telephone | 504-430-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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