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General NPI Number Information
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NPI Number | 1528385382
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Entity Type | Organization
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Legal Business Name | SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 309 JACKSON ST 7TH FLOOR
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City | MONROE
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State | LA
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Zip | 71201-7407
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Country | US
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Telephone | 318-327-4600
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Fax | 318-327-4082
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Provider Business Mailing Address
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Address Line | 1000 CHINABERRY DR STE 200
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2443
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Country | US
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Telephone | 318-684-6050
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Fax | 318-684-6051
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Authorized Official
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Title or Position | GROUP PRESIDENT
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Name | CHRIS FOX
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Credential |
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Telephone | 337-247-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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