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General NPI Number Information
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NPI Number | 1417752452
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Entity Type | Individual
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Provider Name | NIKOS PAPANIKOLAOU PHD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 7979 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4427
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Country | US
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Telephone | 210-450-5664
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Fax |
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Provider Business Mailing Address
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Address Line | 342 REGENT CIR
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1404
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Country | US
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Telephone | 210-884-9867
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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 | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number | FMP00000593
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License Number State | TX
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