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General NPI Number Information
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NPI Number | 1629309018
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Entity Type | Individual
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Provider Name | NIKITA N DUKE CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 129 N LOCUST AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-3757
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Country | US
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Telephone | 855-560-4999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 681029
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City | FRANKLIN
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State | TN
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Zip | 37068-1029
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Country | US
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Telephone | 855-560-4999
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3012363
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 24063
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-117650
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License Number State | AL
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