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General NPI Number Information
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NPI Number | 1316751852
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Entity Type | Individual
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Provider Name | KARLY MCCALL NICHOLAS DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2501 KENTUCKY AVE STE 103
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City | PADUCAH
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State | KY
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Zip | 42003-3813
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Country | US
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Telephone | 270-444-9199
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 PERKINS CREEK DR APT 317
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City | PADUCAH
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State | KY
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Zip | 42001-7514
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Country | US
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Telephone | 618-309-2380
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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 | 4025087
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License Number State | KY
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