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General NPI Number Information
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NPI Number | 1376547653
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Entity Type | Organization
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Legal Business Name | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 200 W 134TH PL
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City | CUT OFF
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State | LA
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Zip | 70345-4143
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Country | US
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Telephone | 985-632-6900
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Fax | 985-632-8325
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Provider Business Mailing Address
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Address Line | 200 W 134TH PL
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City | CUT OFF
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State | LA
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Zip | 70345-4143
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Country | US
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Telephone | 985-632-6900
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Fax | 985-632-8325
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Authorized Official
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Title or Position | CEO
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Name | MRS. KAREN COLLINS
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Credential | R.N.
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Telephone | 985-632-6401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1132
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License Number State | LA
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