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General NPI Number Information
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NPI Number | 1649552845
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Entity Type | Organization
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Legal Business Name | CHRISTUS ST. PATRICK HOSPITAL
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 2115 FITZENRIETER RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-1139
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Country | US
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Telephone | 337-217-4890
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Fax | 337-491-7132
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Provider Business Mailing Address
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Address Line | 2115 FITZENRIETER RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-1139
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Country | US
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Telephone | 337-217-4890
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Fax | 337-491-7132
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. THERESA J. WILLIAMS
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Credential |
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Telephone | 337-217-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3408
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License Number State | LA
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