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General NPI Number Information
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NPI Number | 1841257631
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Entity Type | Organization
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Legal Business Name | TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 8166 MAIN STREET
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City | HOUMA
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State | LA
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Zip | 70360
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Country | US
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Telephone | 985-873-4141
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Fax | 985-851-4307
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Provider Business Mailing Address
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Address Line | PO BOX 6037
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City | HOUMA
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State | LA
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Zip | 70361-6037
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Country | US
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Telephone | 985-873-4235
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Fax | 985-851-4307
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MS. FRANCES D YEATES
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Credential | CPA MBA
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Telephone | 985-873-4664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 159
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License Number State | LA
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