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General NPI Number Information
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NPI Number | 1740718535
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Entity Type | Individual
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Provider Name | PRIYA RAMGOPAL NILESHWAR DO
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 501 LAPALCO BLVD
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City | GRETNA
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State | LA
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Zip | 70056-7336
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Country | US
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Telephone | 504-393-4376
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Fax | 504-930-4307
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Provider Business Mailing Address
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Address Line | 501 LAPALCO BLVD
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City | GRETNA
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State | LA
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Zip | 70056-7336
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Country | US
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Telephone | 504-393-4376
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Fax | 504-930-4307
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SL1213
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License Number State | NV
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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 | 341128
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License Number State | LA
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