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General NPI Number Information
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NPI Number | 1457359531
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Entity Type | Organization
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Legal Business Name | SOCIETIE DES DAMES HOSPITALIERES
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1220 DAUPHINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70116-2429
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Country | US
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Telephone | 504-524-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 DAUPHINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70116-2429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ANDREW BRENT SANDLER
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Credential | PH.D.
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Telephone | 504-524-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 53
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License Number State | LA
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