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General NPI Number Information
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NPI Number | 1245524271
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Entity Type | Organization
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Legal Business Name | NEW ORLEANS EAST REHAB HOSPITAL, INC.
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 333 E. WORTHEY RD.
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City | GONZALES
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State | LA
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Zip | 70737-4234
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Country | US
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Telephone | 225-450-2231
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Fax | 225-450-2813
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Provider Business Mailing Address
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Address Line | 333 E. WORTHEY RD.
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City | GONZALES
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State | LA
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Zip | 70737-4234
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Country | US
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Telephone | 225-450-2231
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Fax | 225-450-2813
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. BRUCE WALKER
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Credential | M.S.N.
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Telephone | 225-450-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 588
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License Number State | LA
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