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General NPI Number Information
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NPI Number | 1184574451
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Entity Type | Individual
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Provider Name | THOMAS MALONEY HARKINS III NP
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Gender | Male
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 971 LAKELAND DR STE 657
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City | JACKSON
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State | MS
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Zip | 39216-4608
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Country | US
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Telephone | 601-200-2780
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Fax | 601-200-2788
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 601-200-2780
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Fax | 225-765-9196
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 908143
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 908143
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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