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General NPI Number Information
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NPI Number | 1356216741
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Entity Type | Individual
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Provider Name | ALEXANDRIA SHOOK MS, ALC
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 11125 US 280 EAST
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City | WESTOVER
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State | AL
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Zip | 35147
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Country | US
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Telephone | 205-902-3481
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Fax |
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Provider Business Mailing Address
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Address Line | 8442 COUNTY ROAD 26
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City | RAGLAND
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State | AL
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Zip | 35131-5620
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Country | US
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Telephone | 256-310-1032
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC05741
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License Number State | AL
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