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General NPI Number Information
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NPI Number | 1013564483
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Entity Type | Individual
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Provider Name | NICHOLAS T HART MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 7300 Q ST
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City | RALSTON
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State | NE
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Zip | 68127-3941
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Country | US
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Telephone | 402-326-4672
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Fax |
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Provider Business Mailing Address
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Address Line | 7616 GRAND OAKS CIR
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City | LINCOLN
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State | NE
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Zip | 68516-4300
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Country | US
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Telephone | 402-326-4672
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 084050
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License Number State | IA
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