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General NPI Number Information
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NPI Number | 1790094985
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Entity Type | Organization
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Legal Business Name | HAMMOND SURGICAL HOSPITAL, LLC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 42570 S. AIRPORT ROAD
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-510-6200
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Fax | 985-510-6202
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Provider Business Mailing Address
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Address Line | 42570 S. AIRPORT ROAD
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-510-6200
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Fax | 985-510-6202
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Authorized Official
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Title or Position | CEO
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Name | MR. DONALD D. TREXLER
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Credential |
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Telephone | 985-510-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 690
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License Number State | LA
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