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General NPI Number Information
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NPI Number | 1386828119
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Entity Type | Organization
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Legal Business Name | ST. CHARLES PARISH HOSPITAL
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 1057 PAUL MAILLARD RD
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City | LULING
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State | LA
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Zip | 70070-4349
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Country | US
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Telephone | 985-785-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 1057 PAUL MAILLARD RD
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City | LULING
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State | LA
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Zip | 70070-4349
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Country | US
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Telephone | 985-785-4285
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRED MARTINEZ
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Credential |
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Telephone | 985-785-3643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 1205
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License Number State | LA
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