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NPI 1407889504

NPI 1407889504 : CALCASIEU PHYSICIANS SERVICES LLC : SULPHUR, LA

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General NPI Number Information
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    NPI Number           |    1407889504
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    Entity Type          |    Organization 
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    Legal Business Name  |    CALCASIEU PHYSICIANS SERVICES LLC 
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Dates
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    Enumeration Date     |    07/09/2006
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    Last Update Date     |    12/10/2009
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Provider Practice Location Address
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    Address Line         |    701 CYPRESS ST 
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    City                 |    SULPHUR
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    State                |    LA
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    Zip                  |    70663-5053
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    Country              |    US
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    Telephone            |    800-893-9698
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 CORPORATE BLVD SUITE 201
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-3870
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    Country              |    US
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    Telephone            |    800-893-9698
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     WILLIAM  SCHUMACHER 
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    Credential           |    MD
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    Telephone            |    800-893-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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