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General NPI Number Information
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NPI Number | 1295695500
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Entity Type | Individual
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Provider Name | CHLOE NICHOLS
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1245 MAIN ST STE 230
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City | BUDA
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State | TX
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Zip | 78610-2269
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Country | US
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Telephone | 512-400-4437
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Fax | 512-572-7802
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 |
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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 | 1407612
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License Number State | TX
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