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General NPI Number Information
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NPI Number | 1972467413
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Entity Type | Individual
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Provider Name | ALICIA GANT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 456 N 25TH ST
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City | EAST SAINT LOUIS
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State | IL
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Zip | 62205-1739
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Country | US
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Telephone | 314-255-4525
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Fax |
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Provider Business Mailing Address
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Address Line | 4053 PLEASANT ST APT A
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City | SAINT LOUIS
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State | MO
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Zip | 63107-2444
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Country | US
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Telephone | 314-255-4525
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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