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General NPI Number Information
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NPI Number | 1578481891
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Entity Type | Individual
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Provider Name | JAMES GANT PLMSW
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 750 MEDEL MARCONI RD
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City | MARION
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State | AR
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Zip | 72364-9047
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Country | US
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Telephone | 870-208-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 204 MISSISSIPPI ST S
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City | WYNNE
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State | AR
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Zip | 72396-3025
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Country | US
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Telephone | 870-208-8499
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | PLMSW
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License Number State | AR
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