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NPI 1427020569

NPI 1427020569 : EUNICE REHABILITATION HOSPITAL, LLC : ABBEVILLE, LA

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General NPI Number Information
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    NPI Number           |    1427020569
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    Entity Type          |    Organization 
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    Legal Business Name  |    EUNICE REHABILITATION HOSPITAL, LLC 
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Dates
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    Enumeration Date     |    02/02/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    118 N HOSPITAL DR SECOND FLOOR
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    City                 |    ABBEVILLE
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    State                |    LA
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    Zip                  |    70510-4039
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    Country              |    US
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    Telephone            |    337-898-8800
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    Fax                  |    337-898-8801
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Provider Business Mailing Address
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    Address Line         |    2325 WEYMOUTH DR SUITE A
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70809-1481
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    Country              |    US
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    Telephone            |    225-216-2299
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    Fax                  |    225-216-2279
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Authorized Official
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    Title or Position    |    PRESIDENT AND COO
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    Name                 |    MR. DAMIAN KIRK SOILEAU 
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    Credential           |    
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    Telephone            |    225-216-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    283X00000X
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    Taxonomy Name        |    Rehabilitation Hospital
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    License Number       |    395
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    License Number State |    LA
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