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General NPI Number Information
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NPI Number | 1346132164
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Entity Type | Individual
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Provider Name | NICOLE CRAIG
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 120 2ND AVE SE
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City | WAUKON
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State | IA
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Zip | 52172-2073
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Country | US
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Telephone | 563-568-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 SOUTH AVE
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City | LA CROSSE
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State | WI
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Zip | 54601-5429
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Country | US
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Telephone | 608-782-7300
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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 | 17266-33
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License Number State | WI
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