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General NPI Number Information
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NPI Number | 1376335984
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Entity Type | Individual
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Provider Name | WILLIAM H NICHOLS II LLMSW, CADC
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 350 N MAIN ST STE 150
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City | CHELSEA
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State | MI
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Zip | 48118-1486
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Country | US
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Telephone | 734-593-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 738 UNIVERSITY CT
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City | YPSILANTI
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State | MI
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Zip | 48197-1727
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Country | US
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Telephone | 704-299-4793
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851118237
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License Number State | MI
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