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General NPI Number Information
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NPI Number | 1326056540
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Entity Type | Individual
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Provider Name | ALANA C THOMPSON-BYRD MD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 60 REGENCY PL
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City | MILLSTADT
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State | IL
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Zip | 62260-2210
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Country | US
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Telephone | 618-476-3373
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Fax | 618-476-1890
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Provider Business Mailing Address
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Address Line | 60 REGENCY PL
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City | MILLSTADT
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State | IL
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Zip | 62260-2210
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Country | US
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Telephone | 618-476-3373
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Fax | 618-476-1890
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2013036699
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-111851
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2013036399
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License Number State | MO
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