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General NPI Number Information
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NPI Number | 1356306971
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Entity Type | Organization
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Legal Business Name | IASIS OUACHITA COMMUNITY HOSPITAL LP
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 1275 GLENWOOD DRIVE
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City | WEST MONROE
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State | LA
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Zip | 71291-5539
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Country | US
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Telephone | 318-322-1339
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Fax | 318-322-1693
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Provider Business Mailing Address
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Address Line | 117 SEABOARD LN BLDG E ATTN: IASIS CORPORATE LEGAL DEPARTMENT
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City | FRANKLIN
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State | TN
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Zip | 37067-2855
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Country | US
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Telephone | 615-844-2747
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Fax | 615-467-1271
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Authorized Official
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Title or Position | OFFICER
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Name | MATTHEW ROBERTS
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Credential |
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Telephone | 318-329-4200
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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 | 633
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License Number State | LA
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