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General NPI Number Information
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NPI Number | 1720933369
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Entity Type | Individual
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Provider Name | JIMMIE JUSTIN HARPER
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Gender | Male
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 208 N 26TH ST STE A
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4366
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Country | US
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Telephone | 870-246-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 208 N 26TH ST STE A
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4366
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Country | US
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Telephone |
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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 | 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 | AR
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