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General NPI Number Information
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NPI Number | 1205457892
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Entity Type | Organization
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Legal Business Name | DESOTO HOSPITAL ASSOCATION
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 808 MAIN ST
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City | LOGANSPORT
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State | LA
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Zip | 71049-2605
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Country | US
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Telephone | 318-697-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 808 MAIN ST
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City | LOGANSPORT
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State | LA
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Zip | 71049-2605
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Country | US
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Telephone | 318-697-2273
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Fax |
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Authorized Official
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Title or Position | VP OF FINIANCE
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Name | CHRISTOPHER DAVIS
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Credential |
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Telephone | 318-872-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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