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NPI 1326305863

NPI 1326305863 : MEKEISHA RENAE PICKENS M.D. : BESSEMER, AL

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General NPI Number Information
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    NPI Number           |    1326305863
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    Entity Type          |    Individual 
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    Provider Name        |    MEKEISHA RENAE PICKENS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2012
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    Last Update Date     |    06/12/2025
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Provider Practice Location Address
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    Address Line         |    4730 BELL HILL RD 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35022-6947
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    Country              |    US
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    Telephone            |    205-426-3010
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    Fax                  |    205-638-5022
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Provider Business Mailing Address
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    Address Line         |    4730 BELL HILL RD 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35022-6947
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    Country              |    US
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    Telephone            |    205-426-3010
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    Fax                  |    205-638-5022
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    33034
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    License Number State |    AL
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