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General NPI Number Information
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NPI Number | 1487215398
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Entity Type | Individual
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Provider Name | AKSHAY VIVEK NANDAVAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2019
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Last Update Date | 06/11/2025
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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 | 70121-2429
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Country | US
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Telephone | 800-231-5257
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Fax |
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Provider Business Mailing 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 | 70121-2429
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Country | US
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Telephone | 180-023-1525
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 4301506598
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 346409
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License Number State | LA
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