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General NPI Number Information
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NPI Number | 1952974925
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Entity Type | Individual
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Provider Name | NICOLE MARIE DUPREE ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 3421 W 9TH ST
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City | WATERLOO
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State | IA
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Zip | 50702-5401
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Country | US
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Telephone | 319-272-8349
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Fax | 319-272-8355
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Provider Business Mailing Address
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Address Line | 4204 PADDINGTON DR
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City | CEDAR FALLS
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State | IA
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Zip | 50613-8916
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Country | US
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Telephone | 563-580-2883
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | H164701
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License Number State | IA
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