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General NPI Number Information
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NPI Number | 1811199185
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Entity Type | Organization
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Legal Business Name | ST FRANCIS SURGICAL SERVICES
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 410 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7445
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Country | US
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Telephone | 318-966-6622
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Fax | 318-966-6621
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Provider Business Mailing Address
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Address Line | 410 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7445
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Country | US
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Telephone | 318-966-6622
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Fax | 318-966-6621
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Authorized Official
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Title or Position | REIMBURSEMENT ACCOUNTANT
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Name | MRS. MONICA L PITTMAN
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Credential |
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Telephone | 318-966-7279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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