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General NPI Number Information
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NPI Number | 1891305595
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Entity Type | Individual
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Provider Name | NICHOLLETTE VICTORIA DYKES NP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1905 N SHERMAN ST STE 200
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City | DENVER
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State | CO
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Zip | 80203-1132
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Country | US
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Telephone | 303-529-6467
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Fax | 303-622-1128
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Provider Business Mailing Address
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Address Line | 1905 N SHERMAN ST STE 200
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City | DENVER
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State | CO
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Zip | 80203-1132
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Country | US
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Telephone | 303-529-6467
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Fax | 303-622-1128
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0002324
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 00001078
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License Number State | CO
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