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General NPI Number Information
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NPI Number | 1346265097
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Entity Type | Individual
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Provider Name | NIRANJAN SHASHIKANT PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3113 HIGHWAY 28 E PINEVILLE MEDICAL CENTER
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City | PINEVILLE
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State | LA
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Zip | 71360-5783
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Country | US
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Telephone | 318-767-2222
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Fax | 318-767-2264
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Provider Business Mailing Address
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Address Line | 5200 RAPHAEL DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2464
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Country | US
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Telephone | 318-473-0544
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Fax | 318-473-0577
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD05137R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD05137R
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License Number State | LA
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