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General NPI Number Information
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NPI Number | 1609512417
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Entity Type | Individual
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Provider Name | NICOLE TURNER
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Gender | Female
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 12603 HIGHWAY 105 W STE 100
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City | CONROE
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State | TX
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Zip | 77304-4788
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Country | US
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Telephone | 329-301-4308
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Fax |
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Provider Business Mailing Address
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Address Line | 14855 ROGERS RD
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City | WILLIS
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State | TX
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Zip | 77378-3833
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Country | US
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Telephone | 832-930-1430
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 106934
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 106934
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License Number State | TX
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