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General NPI Number Information
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NPI Number | 1114871373
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Entity Type | Organization
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Legal Business Name | DR NICHOLAS DAMICO DNP AGNP C PLLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 125 EDINBURGH SOUTH DR STE 105
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City | CARY
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State | NC
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Zip | 27511-6484
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Country | US
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Telephone | 984-299-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 125 EDINBURGH SOUTH DR STE 105
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City | CARY
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State | NC
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Zip | 27511-6484
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS LOUIS D'AMICO
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Credential | DNP AGNP-C
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Telephone | 919-800-7274
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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