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General NPI Number Information
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NPI Number | 1881162337
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Entity Type | Organization
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Legal Business Name | BRIDGEPOINT HEALTHCARE LOUISIANA LLC
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 4200 HOUMA BLVD FL 5
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City | METAIRIE
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State | LA
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Zip | 70006-2970
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Country | US
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Telephone | 502-888-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 MEDICAL CENTER BLVD STE SOUTH580
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City | MARRERO
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State | LA
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Zip | 70072-3151
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Country | US
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Telephone | 504-349-2479
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Fax | 504-349-2583
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Authorized Official
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Title or Position | LEGAL COUNSEL
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Name | CHRISTOPHER DOAN
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Credential |
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Telephone | 310-259-4706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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