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General NPI Number Information
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NPI Number | 1528215019
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Entity Type | Individual
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Provider Name | PADAM HIRACHAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 151 JEFFERSON DAVIS BLVD STE A
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City | NATCHEZ
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State | MS
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Zip | 39120-5140
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Country | US
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Telephone | 601-273-3354
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Fax | 601-653-9589
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Provider Business Mailing Address
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Address Line | 151 JEFFERSON DAVIS BLVD STE A
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City | NATCHEZ
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State | MS
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Zip | 39120-5140
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Country | US
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Telephone | 601-273-3354
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Fax | 601-653-9589
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 24338
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 301812
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License Number State | LA
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