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General NPI Number Information
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NPI Number | 1114164423
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Entity Type | Individual
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Provider Name | NICHOLAS PLAYER P.T., D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4307 N ROAN ST STE 7
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4973
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Country | US
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Telephone | 423-491-5222
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Fax | 423-491-5223
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Provider Business Mailing Address
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Address Line | 4307 N ROAN ST STE 7
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4973
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Country | US
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Telephone | 423-491-5222
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Fax | 423-491-5223
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT 28462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13222
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License Number State | TN
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