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General NPI Number Information
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NPI Number | 1093897225
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SURGERY CENTER OF BATON ROUGE, LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 505 E AIRPORT AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-6515
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Country | US
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Telephone | 225-201-0950
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Fax | 225-923-3488
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Provider Business Mailing Address
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Address Line | 505 E AIRPORT AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-6515
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Country | US
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Telephone | 225-201-0950
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Fax | 225-923-3488
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ARNOLD E FELDMAN
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Credential | MD
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Telephone | 225-201-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 19-C0001086
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License Number State | LA
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