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General NPI Number Information
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NPI Number | 1932008174
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Entity Type | Individual
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Provider Name | BOBBI JO NICHOLS AGPC-NP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 15167 HUNTINGTON RD
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City | GALLIPOLIS FERRY
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State | WV
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Zip | 25515-6615
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Country | US
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Telephone | 681-532-9633
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Fax |
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Provider Business Mailing Address
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Address Line | 406 LOWER PARCHMENT VALLEY RD
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City | RIPLEY
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State | WV
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Zip | 25271-5123
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Country | US
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Telephone | 681-532-9633
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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 | 127952
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License Number State | WV
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