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General NPI Number Information
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NPI Number | 1639436199
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Entity Type | Individual
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Provider Name | SHOICHIRO ALBERTO TANAKA MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 01/29/2025
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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 | 504-842-4070
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Fax | 504-842-3124
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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 | 985-873-2479
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Fax | 985-873-2795
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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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 207182
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 207182
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 207182
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License Number State | LA
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