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General NPI Number Information
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NPI Number | 1790669299
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Entity Type | Individual
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Provider Name | NICOLE MARIANNA KACIR DNP
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Gender |
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2 UPPER RAGSDALE DR STE B210
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City | MONTEREY
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State | CA
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Zip | 93940-7851
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Country | US
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Telephone | 831-333-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 16811 GALLOP DR
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City | MORGAN HILL
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State | CA
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Zip | 95037-3909
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Country | US
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Telephone | 408-710-0469
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95036495
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95036495
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License Number State | CA
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