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General NPI Number Information
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NPI Number | 1184648651
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Entity Type | Organization
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Legal Business Name | BATON ROUGE GENERAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 3401 NORTH BLVD STE 200
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City | BATON ROUGE
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State | LA
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Zip | 70806-3743
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Country | US
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Telephone | 225-381-6620
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Fax | 225-381-6629
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Provider Business Mailing Address
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Address Line | 8490 PICARDY AVE BLDG 200
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City | BATON ROUGE
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State | LA
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Zip | 70809-3731
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Country | US
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Telephone | 225-237-1754
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Fax | 225-237-1722
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Authorized Official
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Title or Position | CFO
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Name | KENDALL A JOHNSON
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Credential |
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Telephone | 225-237-1645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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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