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General NPI Number Information
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NPI Number | 1851394092
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Entity Type | Individual
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Provider Name | TWILA J FICKEL DPM
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 221 CHADRON AVE
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City | CHADRON
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State | NE
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Zip | 69337-2347
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Country | US
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Telephone | 308-432-2407
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Fax | 308-432-8480
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Provider Business Mailing Address
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Address Line | 221 CHADRON AVE
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City | CHADRON
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State | NE
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Zip | 69337-2347
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Country | US
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Telephone | 308-432-2407
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Fax | 308-432-8480
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 212
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License Number State | NE
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