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General NPI Number Information
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NPI Number | 1386734762
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTHCARE SYSTEMS, LC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 95 E FAIRWAY DR SUITE 302
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City | COVINGTON
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State | LA
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Zip | 70433-7500
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Country | US
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Telephone | 504-988-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 95 E FAIRWAY DR SUITE 302
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City | COVINGTON
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State | LA
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Zip | 70433-7500
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Country | US
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Telephone | 504-988-5800
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ASHLEY H MCGAHA
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Credential |
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Telephone | 504-988-6849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | LA
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