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General NPI Number Information
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NPI Number | 1184048373
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Entity Type | Organization
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Legal Business Name | HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 448 N WASHINGTON ST
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City | MARKSVILLE
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State | LA
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Zip | 71351-2426
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Country | US
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Telephone | 318-253-7511
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Fax | 318-253-7513
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Provider Business Mailing Address
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Address Line | PO BOX 380
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City | BUNKIE
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State | LA
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Zip | 71322-0380
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Country | US
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Telephone | 318-346-3339
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Fax | 318-346-2737
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NELWYN FEHMIE
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Credential |
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Telephone | 318-346-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 184
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License Number State | LA
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