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General NPI Number Information
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NPI Number | 1558181735
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Entity Type | Organization
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Legal Business Name | ST JAMES PARISH HOSP. SERV. DIST.
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 21420 HIGHWAY 20
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City | VACHERIE
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State | LA
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Zip | 70090-3614
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Country | US
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Telephone | 225-265-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 LUTCHER AVE APT SUITE
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City | LUTCHER
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State | LA
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Zip | 70071-5150
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Country | US
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Telephone | 225-258-5901
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TRACY GEORGE
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Credential |
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Telephone | 225-258-5901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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