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General NPI Number Information
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NPI Number | 1336762269
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Entity Type | Organization
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Legal Business Name | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1501 KINGS HWY MEDICAL SCHOOL BUILDING 5TH FLOOR
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City | SHREVEPORT
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State | LA
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Zip | 71103-4228
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Country | US
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Telephone | 318-675-7587
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Fax | 318-675-4916
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Provider Business Mailing Address
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Address Line | PO BOX 735328
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City | DALLAS
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State | TX
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Zip | 75373-5328
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Country | US
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Telephone | 318-603-8027
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Fax | 318-866-9720
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Authorized Official
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Title or Position | CHIEF BUSINESS OFFICER
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Name | STACEY SIMPSON
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Credential |
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Telephone | 318-675-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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