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General NPI Number Information
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NPI Number | 1629889068
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Entity Type | Individual
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Provider Name | NICOLE INMAN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 10857 KUYKENDAHL RD STE 210
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City | SPRING
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State | TX
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Zip | 77382-2936
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Country | US
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Telephone | 832-869-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 117 PARK CIR
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City | MONTGOMERY
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State | TX
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Zip | 77356-5937
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Country | US
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Telephone | 631-885-5101
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 651790
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 922968
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License Number State | TX
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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 | 1189814
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License Number State | TX
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