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General NPI Number Information
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NPI Number | 1962084483
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Entity Type | Individual
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Provider Name | NICOLE BRAMWELL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 2634 CAPITAL CIR NE
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4106
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Country | US
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Telephone | 850-523-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4402
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Country | US
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Telephone | 850-284-3370
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 20200146878
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License Number State | FL
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