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General NPI Number Information
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NPI Number | 1306197942
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Entity Type | Individual
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Provider Name | TAKESHIA MONIQUE DENT-THOMAS DNP, MSN, CCRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/22/2012
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3039 ALLISON BONNETT MEMORIAL DR
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City | HUEYTOWN
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State | AL
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Zip | 35023-2397
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Country | US
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Telephone | 205-538-5178
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Fax | 205-538-5194
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Provider Business Mailing Address
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Address Line | 3039 ALLISON BONNETT MEMORIAL DR
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City | HUEYTOWN
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State | AL
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Zip | 35023-2397
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Country | US
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Telephone | 205-538-5178
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Fax | 205-538-5194
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-107825
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License Number State | AL
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