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General NPI Number Information
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NPI Number | 1598506040
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Entity Type | Individual
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Provider Name | NICHOLE SMITH APRN WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 5631 S 48TH ST STE 100
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City | LINCOLN
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State | NE
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Zip | 68516-4107
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Country | US
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Telephone | 877-859-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 COTTONWOOD ST
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City | BENNET
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State | NE
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Zip | 68317-2427
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Country | US
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Telephone | 402-570-4262
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 115396
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License Number State | NE
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