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General NPI Number Information
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NPI Number | 1275536799
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Entity Type | Organization
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Legal Business Name | LAFAYETTE GENERAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/30/2005
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 1214 COOLIDGE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2621
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Country | US
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Telephone | 337-289-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 COOLIDGE AVE.
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City | LAFAYETTE
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State | LA
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Zip | 70503-2621
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Country | US
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Telephone | 337-289-7374
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Fax | 337-289-8671
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Authorized Official
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Title or Position | CEO
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Name | MS. PATRICK W GANDY JR.
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Credential |
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Telephone | 337-289-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 207
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License Number State | LA
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