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General NPI Number Information
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NPI Number | 1417950106
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Entity Type | Organization
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Legal Business Name | CHRISTUS HEALTH NORTHERN LOUISIANA
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1453 E BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71105-6800
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Country | US
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Telephone | 318-681-4500
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Fax | 318-681-4177
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Provider Business Mailing Address
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Address Line | PO BOX 843577
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City | DALLAS
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State | TX
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Zip | 75284-3577
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Country | US
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Telephone | 800-756-7999
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Fax | 469-282-1999
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Authorized Official
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Title or Position | CEO
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Name | THOMAS STEEN TRAWICK
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Credential |
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Telephone | 318-681-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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