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General NPI Number Information
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NPI Number | 1912898123
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Entity Type | Individual
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Provider Name | LATONYA MARIE THOMAS DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 20333 STATE HIGHWAY 249 STE 200
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City | HOUSTON
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State | TX
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Zip | 77070-2613
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Country | US
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Telephone | 713-465-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 6TH AVE
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City | LAKE CHARLES
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State | LA
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Zip | 70601-6505
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Country | US
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Telephone | 337-936-2060
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 916136
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License Number State | TX
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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 | 1199283
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License Number State | TX
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