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NPI 1689592438

NPI 1689592438 : HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH : BAKER, LA

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General NPI Number Information
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    NPI Number           |    1689592438
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH 
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Dates
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    Enumeration Date     |    07/08/2026
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    Last Update Date     |    07/08/2026
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Provider Practice Location Address
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    Address Line         |    6420 GROOM RD 
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    City                 |    BAKER
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    State                |    LA
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    Zip                  |    70714-4336
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    Country              |    US
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    Telephone            |    225-658-6790
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    Fax                  |    225-658-6791
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Provider Business Mailing Address
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    Address Line         |    PO BOX 674924 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75267-4924
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    Country              |    US
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    Telephone            |    225-658-4000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. FRANK  CORCORAN 
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    Credential           |    
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    Telephone            |    225-658-4303
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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       |    
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    License Number State |    
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