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NPI 1407674252

NPI 1407674252 : NICHOLAS STRICKLEN DPT : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1407674252
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLAS STRICKLEN DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/01/2024
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    1991 FORDHAM DR STE 102 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28304-3774
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    Country              |    US
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    Telephone            |    910-484-4653
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    Fax                  |    910-483-9256
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Provider Business Mailing Address
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    Address Line         |    1991 FORDHAM DR STE 102 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28304-3774
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    Country              |    US
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    Telephone            |    910-484-4653
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    Fax                  |    910-483-9256
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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       |    CP049652T
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CO039948T
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT021361
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP035163T
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    License Number State |    VA
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