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General NPI Number Information
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NPI Number | 1295761930
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Entity Type | Individual
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Provider Name | BRIAN J NICKERSON ATC
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 W GORE ST SUITE 204
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City | ORLANDO
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State | FL
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Zip | 32806-1044
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Country | US
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Telephone | 407-835-8818
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Fax | 407-835-8878
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Provider Business Mailing Address
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Address Line | 130 AVERY LAKE DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5191
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Country | US
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Telephone | 407-971-1883
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Fax | 407-835-8878
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL 96
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License Number State | FL
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