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General NPI Number Information
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NPI Number | 1497724967
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Entity Type | Organization
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Legal Business Name | ST LANDRY EMERGENCY GROUP LLC
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 3983 I 49 S SERVICE RD
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City | OPELOUSAS
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State | LA
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Zip | 70570-0758
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Country | US
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Telephone | 337-948-2100
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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