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General NPI Number Information
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NPI Number | 1033919014
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Entity Type | Individual
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Provider Name | SHYKIRA THOMAS PA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1 DREXEL DR
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City | NEW ORLEANS
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State | LA
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Zip | 70125-1056
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Country | US
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Telephone | 504-486-7411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | BOX SPRINGS
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State | GA
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Zip | 31801-0038
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Country | US
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Telephone | 706-580-7806
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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