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General NPI Number Information
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NPI Number | 1093992539
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Entity Type | Individual
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Provider Name | NICOLE WILLIS D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 1570 E HERITAGE PARK ST STE 175
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City | MERIDIAN
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State | ID
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Zip | 83646-6445
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Country | US
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Telephone | 208-322-4114
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Fax | 208-322-4115
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Provider Business Mailing Address
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Address Line | 1570 E HERITAGE PARK ST STE 175
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City | MERIDIAN
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State | ID
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Zip | 83646-6445
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Country | US
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Telephone | 208-322-4114
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Fax | 208-322-4115
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-1268
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License Number State | ID
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