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General NPI Number Information
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NPI Number | 1417917782
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Entity Type | Individual
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Provider Name | JAY L PILAND MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 201 4TH ST STE. 5A, BOX 30129
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-448-1249
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Fax | 318-448-9644
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Provider Business Mailing Address
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Address Line | 201 4TH ST STE. 5A, BOX 30129
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-448-1249
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Fax | 318-448-9644
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 022337
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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 | 022337
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 022337
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 022337
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License Number State | LA
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