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General NPI Number Information
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NPI Number | 1205875648
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Entity Type | Organization
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Legal Business Name | ST FRANCES PFU LLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 417 INDUSTRIAL DR
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City | OBERLIN
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State | LA
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Zip | 70655-3519
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Country | US
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Telephone | 337-639-2934
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Fax | 337-639-4373
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Provider Business Mailing Address
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Address Line | 417 INDUSTRIAL DR
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City | OBERLIN
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State | LA
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Zip | 70655-3519
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Country | US
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Telephone | 337-639-2934
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Fax | 337-639-4373
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SCOTT BROUSSARD
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Credential |
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Telephone | 337-639-2934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 734
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License Number State | LA
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