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General NPI Number Information
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NPI Number | 1457171860
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Entity Type | Organization
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Legal Business Name | HOMER MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 817 SHEPPARD ST
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City | MINDEN
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State | LA
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Zip | 71055-3446
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Country | US
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Telephone | 318-927-2024
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Fax | 318-927-3723
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Provider Business Mailing Address
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Address Line | 620 E COLLEGE ST
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City | HOMER
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State | LA
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Zip | 71040-3202
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Country | US
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Telephone | 318-927-2024
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Fax | 318-927-3723
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Authorized Official
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Title or Position | CREDENTIALER
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Name | WENDY MARIE WILLIAMS
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Credential | CPCS
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Telephone | 318-327-2024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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