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General NPI Number Information
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NPI Number | 1801133913
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Entity Type | Organization
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Legal Business Name | CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 920 1ST AVE
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City | SULPHUR
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State | LA
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Zip | 70663-3425
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Country | US
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Telephone | 337-528-7472
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Fax | 337-528-7457
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Provider Business Mailing Address
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Address Line | 920 1ST AVE
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City | SULPHUR
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State | LA
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Zip | 70663-3425
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Country | US
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Telephone | 337-528-7472
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Fax | 337-528-7457
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Authorized Official
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Title or Position | CFO
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Name | JOBIE JAMES
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Credential |
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Telephone | 337-527-4143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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