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General NPI Number Information
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NPI Number | 1093846354
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTH SYSTEM FOUNDATION, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1100 E JUDGE PEREZ DR
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City | CHALMETTE
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State | LA
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Zip | 70043-5405
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Country | US
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Telephone | 504-333-6988
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Fax | 504-342-2184
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Provider Business Mailing Address
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Address Line | 360 OAK HARBOR BLVD
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City | SLIDELL
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State | LA
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Zip | 70458-5702
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Country | US
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Telephone | 985-726-9333
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Fax | 985-726-2666
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. WENDY M. BERON
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Credential |
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Telephone | 985-726-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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