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General NPI Number Information
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NPI Number | 1962138560
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Entity Type | Individual
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Provider Name | VELMA JEAN SYKES-NIBLETT FNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 4055 VALLEY VIEW LN
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City | DALLAS
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State | TX
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Zip | 75244-5074
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Country | US
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Telephone | 779-770-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 169 DANIEL RD
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City | AXTON
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State | VA
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Zip | 24054-2076
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Country | US
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Telephone | 276-340-1521
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024183346
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License Number State | VA
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