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General NPI Number Information
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NPI Number | 1245358258
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Entity Type | Individual
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Provider Name | WILLIAM EUGENE NICHOLS JR. DC
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2301 LEXINGTON AVE STE 310B
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City | ASHLAND
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State | KY
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Zip | 41101-2893
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Country | US
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Telephone | 606-408-1321
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Fax | 606-408-6411
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone | 606-408-1290
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Fax | 606-408-6640
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4516
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 717
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 717
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License Number State | WV
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