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General NPI Number Information
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NPI Number | 1417621236
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Entity Type | Individual
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Provider Name | NICOLE TODD MD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 201 ABRAHAM FLEXNER WAY STE 690
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City | LOUISVILLE
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State | KY
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Zip | 40202-3841
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Country | US
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Telephone | 502-852-0132
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2308
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Country | US
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Telephone | 502-253-4924
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Fax | 502-489-5750
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 59074
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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