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General NPI Number Information
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NPI Number | 1043691751
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Entity Type | Individual
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Provider Name | NICHOLAS ANDREAS PT
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Gender | Male
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 7511 MAIN ST STE 170
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City | FRISCO
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State | TX
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Zip | 75034-5314
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Country | US
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Telephone | 469-885-9522
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 GLEN HEATHER LN
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City | PROSPER
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State | TX
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Zip | 75078-5703
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Country | US
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Telephone | 952-250-1158
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3118037
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License Number State | TX
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