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General NPI Number Information
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NPI Number | 1194295170
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Entity Type | Individual
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Provider Name | NICHOLAS ALEXANDER ATKINSON AGPCNP
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Gender | Male
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 472 KAULANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-2050
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Country | US
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Telephone | 808-877-2761
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Fax |
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Provider Business Mailing Address
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Address Line | 155 WAILEA IKE PL APT 14
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City | KIHEI
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State | HI
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Zip | 96753-9565
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Country | US
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Telephone | 678-939-2209
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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 | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | RN282157
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | 92269
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2603
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License Number State | HI
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