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General NPI Number Information
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NPI Number | 1982913000
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Entity Type | Individual
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Provider Name | LETICIA ALEJANDRO NICHOLS NP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 117 FOOTHILLS DRIVE BUILDING D
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City | MORGANTON
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State | NC
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Zip | 28655-4044
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Country | US
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Telephone | 828-580-5380
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Fax | 828-580-5838
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Provider Business Mailing Address
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Address Line | 2201 S STERLING ST
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City | MORGANTON
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State | NC
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Zip | 28655-4044
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Country | US
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Telephone | 828-580-5380
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Fax | 828-580-5389
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 212381
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 212381
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License Number State | NC
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