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General NPI Number Information
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NPI Number | 1982563946
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Entity Type | Individual
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Provider Name | ALASIAH THOMAS RN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 101 LEXINGTON DR STE A
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City | GLUCKSTADT
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State | MS
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Zip | 39110-6986
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Country | US
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Telephone | 662-537-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 711 LAKE HARBOUR DR APT 1059
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City | RIDGELAND
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State | MS
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Zip | 39157-4306
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Country | US
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Telephone |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 925358
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License Number State | MS
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