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General NPI Number Information
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NPI Number | 1154153666
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Entity Type | Individual
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Provider Name | NICOLAS CHIODO DPT
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Gender | Male
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 5251 S DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33611-3502
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Country | US
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Telephone | 813-293-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 2714 BEACH BLVD S
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City | GULFPORT
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State | FL
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Zip | 33707-5534
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Country | US
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Telephone | 847-370-3324
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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 | PT42087
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License Number State | FL
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