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General NPI Number Information
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NPI Number | 1952428450
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Entity Type | Organization
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Legal Business Name | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF VERMILION
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 1310 W 7TH ST
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City | KAPLAN
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State | LA
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Zip | 70548-2910
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Country | US
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Telephone | 337-643-8300
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Fax | 337-643-5233
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Provider Business Mailing Address
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Address Line | 1310 W 7TH ST
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City | KAPLAN
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State | LA
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Zip | 70548-2910
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Country | US
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Telephone | 337-643-8300
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Fax | 337-643-5233
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Authorized Official
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Title or Position | CEO
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Name | MR. BRYCE QUEBODEAUX
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Credential |
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Telephone | 337-643-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 149
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License Number State | LA
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