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General NPI Number Information
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NPI Number | 1699778985
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Entity Type | Organization
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Legal Business Name | LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 1000 W PINHOOK RD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2460
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Country | US
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Telephone | 337-289-8060
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Fax | 337-289-8059
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Provider Business Mailing Address
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Address Line | 1000 W PINHOOK RD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2460
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Country | US
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Telephone | 337-289-8060
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Fax | 337-289-8059
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Authorized Official
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Title or Position | PFS DIRECTOR
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Name | MS. CAROLYN H. MCBRIDE
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Credential |
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Telephone | 337-289-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 546
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License Number State | LA
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