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General NPI Number Information
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NPI Number | 1790966638
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Entity Type | Organization
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Legal Business Name | MOREHOUSE GENERAL HOSPITAL
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 323 W WALNUT AVE
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City | BASTROP
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State | LA
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Zip | 71220-4521
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Country | US
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Telephone | 318-283-3600
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Fax | 318-239-8600
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | BASTROP
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State | LA
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Zip | 71221-1060
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Country | US
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Telephone | 318-283-3710
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Fax | 318-239-8710
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ELMORE PATTERSON
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Credential |
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Telephone | 318-283-3607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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