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General NPI Number Information
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NPI Number | 1366968588
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Entity Type | Organization
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Legal Business Name | NIENKE SPLINT GUL, PMHNP, PLLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3305 NORTHLAND DR STE 210
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City | AUSTIN
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State | TX
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Zip | 78731-4988
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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Provider Business Mailing Address
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Address Line | 3305 NORTHLAND DR STE 210
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City | AUSTIN
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State | TX
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Zip | 78731-4988
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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Authorized Official
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Title or Position | MANAGER
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Name | NIENKE SPLINT GUL
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Credential | PMHNP
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Telephone | 512-454-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP128543
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License Number State | TX
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