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General NPI Number Information
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NPI Number | 1518202902
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Entity Type | Organization
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Legal Business Name | CALCASIEU PARISH POLICE JURY
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 1106 RYAN ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5252
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Country | US
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Telephone | 337-497-9355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3287
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City | LAKE CHARLES
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State | LA
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Zip | 70602-3287
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Country | US
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Telephone | 337-721-3650
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. JERRY MILNER
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Credential | CPA,CFA,CFP
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Telephone | 337-721-3650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD019378
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License Number State | LA
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