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General NPI Number Information
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NPI Number | 1689753014
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Entity Type | Individual
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Provider Name | JAMES PHILLIP GAHARAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2000 OPELOUSAS ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-2641
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Country | US
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Telephone | 337-769-9451
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Fax | 337-769-9460
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Provider Business Mailing Address
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Address Line | 2000 OPELOUSAS ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-2641
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Country | US
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Telephone | 337-769-9451
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Fax | 337-769-9460
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | L011115
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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 | MD.011115
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License Number State | LA
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