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General NPI Number Information
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NPI Number | 1114451416
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Entity Type | Individual
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Provider Name | NICOLE HALL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1995 E. PLATTE AVE SUITE 2
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City | FORT MORGAN
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State | CO
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Zip | 80701
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Country | US
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Telephone | 970-427-3130
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Fax | 970-645-7201
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Provider Business Mailing Address
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Address Line | 1909 SKYROCK RD
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City | LOVELAND
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State | CO
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Zip | 80538-8628
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Country | US
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Telephone | 732-371-5157
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22546
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License Number State | TN
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