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General NPI Number Information
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NPI Number | 1558321943
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Entity Type | Organization
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Legal Business Name | WESTCARE MEDICAL CENTER, INC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 1220 BARATARIA BLVD
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City | MARRERO
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State | LA
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Zip | 70072
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Country | US
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Telephone | 504-340-6711
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Fax | 504-348-3935
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Provider Business Mailing Address
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Address Line | 6 TEAL CT
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City | WESTWEGO
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State | LA
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Zip | 70094-5070
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Country | US
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Telephone | 504-236-7614
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Fax | 504-510-5899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHY TRAN
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Credential |
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Telephone | 504-236-7614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | LA
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