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General NPI Number Information
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NPI Number | 1205810983
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Entity Type | Individual
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Provider Name | NICOLE K MCINTYRE D.O.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1040 UNIVERSITY BLVD STE 205
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2650
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Country | US
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Telephone | 757-953-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 HUNT CLUB LN
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City | CHESAPEAKE
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State | VA
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Zip | 23323-6548
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Country | US
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Telephone | 757-271-8565
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0102050138
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 0102050138
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License Number State | VA
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