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General NPI Number Information
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NPI Number | 1578566261
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Entity Type | Organization
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Legal Business Name | HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 350 HOSPITAL RD
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City | NEW ROADS
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State | LA
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Zip | 70760-2621
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Country | US
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Telephone | 225-638-5717
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Fax | 225-638-5849
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Provider Business Mailing Address
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Address Line | 350 HOSPITAL RD
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City | NEW ROADS
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State | LA
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Zip | 70760-2621
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Country | US
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Telephone | 225-638-5717
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Fax | 225-638-5849
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Authorized Official
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Title or Position | CEO
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Name | JEANINE LAURENT THIBODEAUX
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Credential | RN
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Telephone | 225-618-2802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 176
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License Number State | LA
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