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General NPI Number Information
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NPI Number | 1831036318
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Entity Type | Individual
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Provider Name | SHARONDA MICHELLE GANT CCMA,CPT,CNA
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2616 N PARK AVE
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City | MANSFIELD
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State | LA
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Zip | 71052-5738
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Country | US
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Telephone | 318-461-8007
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 N PARK AVE
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City | MANSFIELD
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State | LA
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Zip | 71052-5738
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Country | US
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Telephone | 318-461-8007
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State | LA
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