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General NPI Number Information
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NPI Number | 1275513798
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Entity Type | Organization
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Legal Business Name | SOUTHPARK COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 314 YOUNGSVILLE HWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-4524
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Country | US
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Telephone | 337-769-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 314 YOUNGSVILLE HWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-4524
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Country | US
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Telephone | 337-769-4080
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LINDA DEVILLE
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Credential |
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Telephone | 337-769-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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