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General NPI Number Information
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NPI Number | 1750800850
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Entity Type | Individual
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Provider Name | JOANNE L. GANT LPN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6087 STATE ROUTE 19 N
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City | BELMONT
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State | NY
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Zip | 14813-9621
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Country | US
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Telephone | 585-268-5577
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Fax | 585-268-5577
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Provider Business Mailing Address
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Address Line | CROSS ROADS CENTER- SUITE 170 6087 STATE RTE 19 NORTH
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City | BELMONT
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State | NY
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Zip | 14813
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Country | US
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Telephone | 585-268-5577
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Fax | 585-268-5577
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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 | 219030-1
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License Number State | NY
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