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General NPI Number Information
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NPI Number | 1710929120
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Entity Type | Organization
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Legal Business Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1890 W GAUTHIER RD STE 140
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City | LAKE CHARLES
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State | LA
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Zip | 70605-7179
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Country | US
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Telephone | 337-480-5570
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Fax | 337-480-5581
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Provider Business Mailing Address
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Address Line | PO BOX 122534, DEPT 2534
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City | DALLAS
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State | TX
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Zip | 75312-0001
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Country | US
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Telephone | 337-494-2921
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Fax | 337-494-6523
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Authorized Official
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Title or Position | CFO
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Name | DAWN JOHNSON-HATCHER
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Credential |
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Telephone | 337-494-2094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0600010033
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License Number State | LA
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