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General NPI Number Information
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NPI Number | 1962697102
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Entity Type | Organization
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Legal Business Name | MONROE SURGICAL HOSPITAL
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 2408 BROADMOOR BLVD
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City | MONROE
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State | LA
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Zip | 71201-2963
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Country | US
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Telephone | 318-410-0002
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Fax | 318-410-1960
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Provider Business Mailing Address
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Address Line | 2408 BROADMOOR BLVD
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City | MONROE
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State | LA
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Zip | 71201-2963
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Country | US
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Telephone | 318-410-0002
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Fax | 318-410-1960
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Authorized Official
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Title or Position | CEO/CNO
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Name | MRS. ROBYN J. HEMPHILL
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Credential |
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Telephone | 318-410-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 475
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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