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General NPI Number Information
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NPI Number | 1629354386
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Entity Type | Organization
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Legal Business Name | ST FRANCIS MEDICAL CENTER INC FINANCE DEPARTMENT
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 1162 OLIVER RD STE 4
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City | MONROE
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State | LA
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Zip | 71201-5755
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Country | US
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Telephone | 318-340-9600
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Fax | 318-340-9675
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Provider Business Mailing Address
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Address Line | 309 JACKSON ST
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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 | 318-966-4000
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Fax | 318-966-7359
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Authorized Official
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Title or Position | SR VICE PRESIDENT & CFO
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Name | RONALD E HOGAN
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Credential |
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Telephone | 318-966-7359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 157
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License Number State | LA
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