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General NPI Number Information
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NPI Number | 1750820098
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Entity Type | Organization
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Legal Business Name | ST TAMMANY PARISH DISTRICT HOSPITAL 2
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 1045 FLORIDA AVE
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City | SLIDELL
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State | LA
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Zip | 70458-2923
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Country | US
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Telephone | 985-280-2755
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Fax | 985-280-1585
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Provider Business Mailing Address
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Address Line | 1045 FLORIDA AVE
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City | SLIDELL
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State | LA
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Zip | 70458-2923
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Country | US
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Telephone | 985-280-2755
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Fax | 985-280-1585
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | MRS. GAYLA ARMATO
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Credential |
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Telephone | 985-280-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 03469R
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License Number State | LA
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