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General NPI Number Information
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NPI Number | 1144231085
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S SPECIALTY HOSPITAL OF SUNSET, L.L.C.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 E SIMCOE ST
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City | LAFAYETTE
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State | LA
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Zip | 70501-6413
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Country | US
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Telephone | 337-769-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E SIMCOE ST
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City | LAFAYETTE
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State | LA
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Zip | 70501-6413
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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 | MEMBER
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Name | PAUL EMMER
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Credential |
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Telephone | 337-769-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 514
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License Number State | LA
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