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General NPI Number Information
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NPI Number | 1114876711
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Entity Type | Individual
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Provider Name | NICOLE KATHRYN HAUCK
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2906 GINNALA DR
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City | LOVELAND
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State | CO
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Zip | 80538-2700
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Country | US
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Telephone | 970-744-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 29TH ST APT 204
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City | GREELEY
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State | CO
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Zip | 80634-8298
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Country | US
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Telephone | 970-888-4001
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CO
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