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General NPI Number Information
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NPI Number | 1134306871
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Entity Type | Organization
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Legal Business Name | REGIONAL PHYSICIANS NETWORK
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 1000 WALTERS ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-4647
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Country | US
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Telephone | 337-475-8429
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4610
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City | LAKE CHARLES
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State | LA
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Zip | 70606-4610
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Country | US
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Telephone | 337-312-1446
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Fax | 337-312-1490
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Authorized Official
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Title or Position | CEO
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Name | MR. DONALD R. SMITHBURG
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Credential |
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Telephone | 337-475-8429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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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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