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General NPI Number Information
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NPI Number | 1992289524
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Entity Type | Individual
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Provider Name | ANDREA NICOLE NIX NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 70 E MAIN ST STE D
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City | GREENWOOD
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State | IN
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Zip | 46143-4201
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Country | US
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Telephone | 317-762-0030
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Fax | 317-762-0080
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Provider Business Mailing Address
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Address Line | 1265 N MAIN ST UNIT 503
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City | FRANKLIN
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State | IN
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Zip | 46131-2820
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Country | US
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Telephone | 317-762-0030
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Fax | 317-762-0080
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71008638A
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License Number State | IN
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