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General NPI Number Information
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NPI Number | 1659546695
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Entity Type | Organization
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Legal Business Name | HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 11/09/2017
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Provider Practice Location Address
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Address Line | 427 EVERGREEN ST
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City | BUNKIE
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State | LA
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Zip | 71322-3901
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Country | US
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Telephone | 318-346-6681
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 380
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City | BUNKIE
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State | LA
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Zip | 71322-0380
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Country | US
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Telephone | 318-346-6681
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | LATRICE WILLIAMS
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Credential |
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Telephone | 318-346-6681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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