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General NPI Number Information
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NPI Number | 1265593735
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Entity Type | Organization
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Legal Business Name | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 4801 AMBASSADOR CAFFERY PKWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-6917
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Country | US
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Telephone | 337-470-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53533
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City | LAFAYETTE
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State | LA
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Zip | 70505-3533
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Country | US
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Telephone | 337-470-2000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM F BARROW
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Credential |
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Telephone | 337-470-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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