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General NPI Number Information
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NPI Number | 1336493808
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Entity Type | Individual
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Provider Name | SARAH KURIA NICHOLS
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 5230 W PATRICK LN SUITE 140
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City | LAS VEGAS
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State | NV
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Zip | 89118-2851
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Country | US
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Telephone | 702-570-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 SUMMER GLOW AVE
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City | HENDERSON
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State | NV
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Zip | 89012-4462
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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