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General NPI Number Information
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NPI Number | 1174475099
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Entity Type | Individual
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Provider Name | JAMES S BURNETT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 4800 E JOHNSON AVE
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City | JONESBORO
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State | AR
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Zip | 72405-8413
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Country | US
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Telephone | 870-936-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 LAKE RIDGE CV
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City | JONESBORO
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State | AR
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Zip | 72404-7695
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Country | US
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Telephone | 870-936-1180
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD12397
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License Number State | AR
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