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General NPI Number Information
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NPI Number | 1629552484
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Entity Type | Individual
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Provider Name | NICHOLE L FISCHER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 3251 N ROCK RD
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City | DERBY
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State | KS
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Zip | 67037-3850
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Country | US
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Telephone | 316-312-7780
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Fax | 316-295-3732
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Provider Business Mailing Address
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Address Line | PO BOX 26846
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City | OVERLAND PARK
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State | KS
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Zip | 66225-6846
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Country | US
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Telephone | 316-312-7780
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Fax | 316-295-3732
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-78391
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License Number State | KS
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