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General NPI Number Information
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NPI Number | 1063365179
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Entity Type | Individual
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Provider Name | NICOLE QUINN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1950 BLUEGRASS CIR STE 100
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City | CHEYENNE
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State | WY
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Zip | 82009-7363
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Country | US
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Telephone | 440-600-8983
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Fax |
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Provider Business Mailing Address
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Address Line | 9729 ALBION LN
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City | THORNTON
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State | CO
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Zip | 80229-3284
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Country | US
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Telephone | 713-206-6235
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 57270
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License Number State | WY
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