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General NPI Number Information
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NPI Number | 1649669631
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Entity Type | Individual
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Provider Name | NICOLE POWERS NP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 101 WESTGATE DR STE 3A
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City | MAQUOKETA
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State | IA
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Zip | 52060-2924
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Country | US
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Telephone | 563-258-4698
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Fax | 219-799-7098
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Provider Business Mailing Address
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Address Line | 101 WESTGATE DR STE 3A
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City | MAQUOKETA
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State | IA
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Zip | 52060-2924
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Country | US
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Telephone | 563-258-4698
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Fax | 219-799-7098
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 153070
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H153070
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License Number State | IA
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