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NPI 1972546174

NPI 1972546174 : HUEY P. LONG MEDICAL CENTER : PINEVILLE, LA

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General NPI Number Information
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    NPI Number           |    1972546174
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUEY P. LONG MEDICAL CENTER 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    04/28/2008
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Provider Practice Location Address
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    Address Line         |    352 HOSPITAL BLVD 
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    City                 |    PINEVILLE
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    State                |    LA
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    Zip                  |    71360-5352
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    Country              |    US
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    Telephone            |    318-448-0811
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    Fax                  |    318-473-6360
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Provider Business Mailing Address
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    Address Line         |    352 HOSPITAL BLVD 
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    City                 |    PINEVILLE
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    State                |    LA
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    Zip                  |    71360-5352
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    Country              |    US
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    Telephone            |    318-448-0811
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    Fax                  |    318-473-6360
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Authorized Official
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    Title or Position    |    VICE CHANCELLOR/CEO
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    Name                 |    MR. DONALD R SMITHBURG 
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    Credential           |    
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    Telephone            |    225-922-1474
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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       |    
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    License Number State |    
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