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General NPI Number Information
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NPI Number | 1962451856
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Entity Type | Organization
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Legal Business Name | WOODCREST HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 226 SOUTH DR
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5041
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Country | US
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Telephone | 318-354-1188
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Fax | 318-354-1189
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Provider Business Mailing Address
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Address Line | 226 SOUTH DR
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5041
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Country | US
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Telephone | 318-354-1188
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Fax | 318-354-1189
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY REGINA KEYSER
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Credential | RN
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Telephone | 318-354-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | LA
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