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General NPI Number Information
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NPI Number | 1821988759
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Entity Type | Organization
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Legal Business Name | NURSE NIC'S FAMILY HEALTHCARE
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2349 N LECANTO HWY UNIT C
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City | LECANTO
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State | FL
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Zip | 34461-6102
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Country | US
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Telephone | 352-212-7255
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Fax | 800-371-1803
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Provider Business Mailing Address
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Address Line | 2349 N LECANTO HWY UNIT C
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City | LECANTO
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State | FL
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Zip | 34461-6102
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Country | US
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Telephone | 352-212-7255
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Fax | 800-371-1803
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | NICOLE REED
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Credential | ARNP AUTONOMOUS
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Telephone | 352-249-7170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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