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General NPI Number Information
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NPI Number | 1386500775
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Entity Type | Individual
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Provider Name | NIKKITA VENISE MERRIWEATHER
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 224 N 3RD ST APT 405
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City | TERRE HAUTE
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State | IN
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Zip | 47807-3026
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Country | US
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Telephone | 317-518-8203
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Fax | 317-978-8966
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Provider Business Mailing Address
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Address Line | 5724 GREEN ST STE 218
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City | BROWNSBURG
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State | IN
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Zip | 46112-1471
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Country | US
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Telephone | 317-518-8203
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Fax | 317-978-8966
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 25-018174
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License Number State | IN
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