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General NPI Number Information
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NPI Number | 1942110044
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Entity Type | Individual
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Provider Name | NICOLE RAE HORELKA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 303 SANDY CORNER RD
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-578-5146
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Fax | 979-275-1150
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Provider Business Mailing Address
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Address Line | 2507 W BAYSHORE DR
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City | PALACIOS
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State | TX
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Zip | 77465-1461
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Country | US
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Telephone | 361-218-2891
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1248969
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License Number State | TX
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