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General NPI Number Information
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NPI Number | 1780535500
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Entity Type | Organization
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Legal Business Name | ST MARTIN HOSPITAL, INC.
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 508 E BRIDGE ST
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City | SAINT MARTINVILLE
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State | LA
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Zip | 70582-4704
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Country | US
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Telephone | 337-342-2706
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Fax | 337-342-2708
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Provider Business Mailing Address
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Address Line | PO BOX 669163
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City | DALLAS
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State | TX
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Zip | 75266-9163
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Country | US
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Telephone | 800-343-0269
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Fax | 504-842-4845
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Authorized Official
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Title or Position | AVP
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Name | JENNIFER VICKNAIR
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Credential |
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Telephone | 337-909-2219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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