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General NPI Number Information
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NPI Number | 1134126659
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Entity Type | Organization
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Legal Business Name | CALDWELL MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 411 MAIN ST
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City | COLUMBIA
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State | LA
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Zip | 71418-6704
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Country | US
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Telephone | 318-649-6111
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Fax | 318-649-5094
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Provider Business Mailing Address
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Address Line | PO BOX 899
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City | COLUMBIA
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State | LA
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Zip | 71418-0899
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Country | US
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Telephone | 318-649-6111
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Fax | 318-649-5094
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RHONDA ETHERIDGE
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Credential |
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Telephone | 318-649-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 113
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 113
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License Number State | LA
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