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General NPI Number Information
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NPI Number | 1245217728
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Entity Type | Individual
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Provider Name | GERALD PATRICK MILETELLO MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 7777 HENNESSY BLVD STE 6000
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City | BATON ROUGE
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State | LA
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Zip | 70808-4366
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Country | US
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Telephone | 225-757-0343
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Fax | 225-757-8354
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Provider Business Mailing Address
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Address Line | 13231 HIGHLAND RD
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City | BATON ROUGE
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State | LA
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Zip | 70810-4912
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Country | US
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Telephone | 225-767-2417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 015418
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 015418
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License Number State | LA
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