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General NPI Number Information
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NPI Number | 1558392126
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Entity Type | Individual
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Provider Name | VICKI NEES NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 3920 ST FRANCIS WAY SUITE 110
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City | LAFAYETTE
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State | IN
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Zip | 47905-4917
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Country | US
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Telephone | 765-428-5800
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Fax | 765-428-5802
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR STE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 71001159A
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License Number State | IN
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