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General NPI Number Information
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NPI Number | 1366151870
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Entity Type | Individual
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Provider Name | NICOLE WALLS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 301 CEDAR ST
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City | OROFINO
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State | ID
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Zip | 83544-9029
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Country | US
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Telephone | 208-476-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 301 CEDAR ST
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City | OROFINO
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State | ID
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Zip | 83544-9029
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Country | US
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Telephone | 208-476-5777
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 72250
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 72250
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License Number State | ID
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