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General NPI Number Information
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NPI Number | 1104612787
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Entity Type | Individual
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Provider Name | MONIQUE NIXON MS ALC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 319 AL-75 SUITE B
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City | ALBERTVILLE
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State | AL
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Zip | 35951
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Country | US
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Telephone | 256-660-0796
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1366
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City | ANNISTON
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State | AL
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Zip | 36202-1366
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Country | US
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Telephone | 256-282-9265
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | ALC05249
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License Number State | AL
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