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General NPI Number Information
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NPI Number | 1245330935
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Entity Type | Individual
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Provider Name | VANI VIJAYAKUMAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2483
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Country | US
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Telephone | 504-842-3470
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 N STATE ST
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-815-5615
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | C52110
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 36071489
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | L5169
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 19800
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License Number State | MS
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