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General NPI Number Information
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NPI Number | 1356306864
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Entity Type | Individual
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Provider Name | ERIC ALAN PAYNE MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2020 WASHINGTON ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-2533
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Country | US
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Telephone | 985-322-2073
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Fax | 985-322-2076
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Provider Business Mailing Address
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Address Line | 38177 HIGHWAY 1055
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City | MOUNT HERMON
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State | LA
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Zip | 70450-7023
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Country | US
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Telephone | 985-322-2073
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Fax | 985-322-2076
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD11643R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11643R
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License Number State | LA
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