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General NPI Number Information
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NPI Number | 1932379872
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Entity Type | Individual
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Provider Name | KEITH PAUL DUPLANTIS MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1022 BELANGER ST
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City | HOUMA
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State | LA
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Zip | 70360-4412
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Country | US
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Telephone | 985-223-3132
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Fax | 985-346-0836
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Provider Business Mailing Address
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Address Line | PO BOX 1094
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City | HOUMA
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State | LA
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Zip | 70361-1094
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Country | US
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Telephone | 985-223-3132
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Fax | 985-346-0836
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD.205239
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | AC3351020751
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 205239
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License Number State | LA
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