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General NPI Number Information
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NPI Number | 1669648564
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Entity Type | Organization
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Legal Business Name | LSUHN BILLING LLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 5825 AIRLINE HWY
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City | BATON ROUGE
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State | LA
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Zip | 70805-2408
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Country | US
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Telephone | 225-358-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62600 DEPT 1432 COMMUNITY CARE
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City | NEW ORLEANS
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State | LA
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Zip | 70162-0001
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Country | US
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Telephone | 877-988-1890
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JOEL SELLERS
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Credential |
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Telephone | 225-381-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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