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General NPI Number Information
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NPI Number | 1245271063
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Entity Type | Organization
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Legal Business Name | LEONARD J CHABERT MEDICAL CENTER
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 1978 INDUSTRIAL BLVD
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City | HOUMA
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State | LA
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Zip | 70363-7055
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Country | US
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Telephone | 985-873-2200
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Fax | 985-873-1262
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Provider Business Mailing Address
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Address Line | 1978 INDUSTRIAL BLVD
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City | HOUMA
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State | LA
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Zip | 70363-7055
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Country | US
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Telephone | 985-873-2200
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Fax | 985-873-1262
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Authorized Official
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Title or Position | VICE CHANCELLOR/CEO
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Name | DR. MICHAEL K BUTLER
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Credential |
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Telephone | 225-922-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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