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General NPI Number Information
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NPI Number | 1225674427
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Entity Type | Organization
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Legal Business Name | HOSPITALIST MEDICINE PHYSICIANS OF LOUISIANA - SHREVEPORT, INC.
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 3330 MASONIC DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-487-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 5410 MARYLAND WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5064
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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 | PRESIDENT
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Name | ROBERT BESSLER
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Credential | MD
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Telephone | 615-377-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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