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General NPI Number Information
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NPI Number | 1548116858
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Entity Type | Individual
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Provider Name | JAMIE CLEM LPN
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 4517 PARK AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71901-9476
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Country | US
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Telephone | 501-623-7900
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Fax | 501-623-7337
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Provider Business Mailing Address
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Address Line | 1837 SOUTHLAND CIR
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City | BENTON
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State | AR
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Zip | 72019-7821
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Country | US
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Telephone | 501-431-8480
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Fax | 501-623-7337
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L057918
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License Number State | AR
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