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General NPI Number Information
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NPI Number | 1508474537
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Entity Type | Individual
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Provider Name | MOLLY MARION NICHOLS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1290 FM 43 STE J
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City | CORPUS CHRISTI
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State | TX
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Zip | 78415-9701
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Country | US
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Telephone | 361-238-0015
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Fax | 361-826-0651
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Provider Business Mailing Address
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Address Line | 7121 SPID DR STE 302
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-4941
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Country | US
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Telephone | 361-851-5000
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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 | 1003086
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License Number State | TX
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