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General NPI Number Information
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NPI Number | 1891339099
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Entity Type | Individual
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Provider Name | SHAKILA MOORE APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3537 ELLIS AVE SW
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City | BIRMINGHAM
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State | AL
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Zip | 35221-1407
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Country | US
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Telephone | 205-249-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 3537 ELLIS AVE SW
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City | BIRMINGHAM
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State | AL
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Zip | 35221-1407
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Country | US
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Telephone | 205-249-3242
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN300940
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61495166
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12.011511
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017855
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G176698
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0101269-C-NP
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 300466
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License Number State | AZ
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-159990
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License Number State | AL
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11004913
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406912
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 1-159990
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License Number State | AL
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024188616
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License Number State | VA
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Taxonomy #13
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11004913
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License Number State | FL
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