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General NPI Number Information
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NPI Number | 1285584615
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Entity Type | Individual
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Provider Name | NICOLE THERESA YORK LPN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 525 TECHNOLOGY PARK STE 109
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City | LAKE MARY
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State | FL
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Zip | 32746-7107
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Country | US
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Telephone | 407-347-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 546 JOE BROWN RD
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City | HODGENVILLE
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State | KY
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Zip | 42748-9348
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Country | US
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Telephone | 407-347-4331
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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 | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 2041945
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License Number State | KY
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