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General NPI Number Information
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NPI Number | 1356363188
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Entity Type | Organization
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Legal Business Name | ST ANNE GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4608 HIGHWAY 1
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City | RACELAND
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State | LA
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Zip | 70394-2623
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Country | US
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Telephone | 985-537-6841
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Fax | 985-537-8273
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Provider Business Mailing Address
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Address Line | 4608 HIGHWAY 1
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City | RACELAND
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State | LA
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Zip | 70394-2623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO ADMINISTRATOR
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Name | MILTON D BOURGEOIS JR.
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Credential |
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Telephone | 985-537-6841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 225
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 225
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License Number State | LA
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