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General NPI Number Information
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NPI Number | 1619534781
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Entity Type | Individual
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Provider Name | NICOLE LYNNE EPARD CNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 9001 N MAIN ST STE A
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City | DAYTON
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State | OH
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Zip | 45415-1154
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Country | US
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Telephone | 937-832-0990
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Fax |
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Provider Business Mailing Address
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Address Line | 9001 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45415-1175
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Country | US
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Telephone | 937-832-0990
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.024745
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License Number State | OH
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