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General NPI Number Information
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NPI Number | 1295412955
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Entity Type | Individual
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Provider Name | ALEXANDRIA MADISON THOMAS DDS
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 11401 NALL AVE STE 100
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City | LEAWOOD
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State | KS
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Zip | 66211-1850
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Country | US
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Telephone | 913-649-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 W 114TH ST
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City | LEAWOOD
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State | KS
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Zip | 66211-3021
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Country | US
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Telephone | 913-231-1166
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 62162
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7927
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2023021396
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License Number State | MO
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