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General NPI Number Information
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NPI Number | 1093337693
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Entity Type | Individual
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Provider Name | NICHOLAS RICKOFF
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Gender | Male
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 332 W SUPERIOR ST STE 300
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City | DULUTH
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State | MN
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Zip | 55802-1844
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Country | US
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Telephone | 218-481-9408
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Fax | 218-491-6055
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Provider Business Mailing Address
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Address Line | 332 W SUPERIOR ST STE 300
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City | DULUTH
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State | MN
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Zip | 55802-1844
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Country | US
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Telephone | 218-481-9408
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Fax | 218-491-6055
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20239-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302415026
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 124365
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 74746
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License Number State | TX
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