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General NPI Number Information
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NPI Number | 1982627360
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Entity Type | Organization
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Legal Business Name | VISTA SURGICAL HOSPITAL OF BATON ROUGE, LLC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 9032 PERKINS RD
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City | BATON ROUGE
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State | LA
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Zip | 70810-1507
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Country | US
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Telephone | 713-378-3000
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Fax | 713-378-3104
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Provider Business Mailing Address
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Address Line | PO BOX 5917
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City | PASADENA
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State | TX
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Zip | 77508-5917
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Country | US
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Telephone | 713-378-3000
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Fax | 713-378-3104
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Authorized Official
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Title or Position | AVP, BUSINESS SERVICES
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Name | JEAN L WINCHER
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Credential |
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Telephone | 713-378-3000
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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 | 493
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License Number State | LA
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