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General NPI Number Information
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NPI Number | 1043024086
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Entity Type | Individual
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Provider Name | NICOLE MICHELLE MCWHORTER C-CHW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 38 W FRANKLIN ST # 1010
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City | DAYTON
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State | OH
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Zip | 45459-4736
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Country | US
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Telephone | 513-402-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 38 W FRANKLIN ST # 1010
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City | DAYTON
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State | OH
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Zip | 45459-4736
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Country | US
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Telephone | 513-402-2696
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CHW.002748
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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