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General NPI Number Information
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NPI Number | 1114181955
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Entity Type | Individual
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Provider Name | NICOLE HOPPER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 103 N BROAD ST APT A
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City | SUFFOLK
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State | VA
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Zip | 23434-5603
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Country | US
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Telephone | 757-390-8314
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Fax |
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Provider Business Mailing Address
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Address Line | 125 BOWMAN DR
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City | SUFFOLK
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State | VA
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Zip | 23434-2362
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024194365
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License Number State | VA
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