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General NPI Number Information
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NPI Number | 1447065263
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Entity Type | Individual
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Provider Name | PAMELA LOUISE NICHOLS RN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 30 S CAYUGA RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6728
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Country | US
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Telephone | 716-632-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 71 AVALON MEADOWS LN
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City | EAST AMHERST
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State | NY
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Zip | 14051-2931
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Country | US
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Telephone | 919-628-7175
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 738197-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 738197-01
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License Number State | NY
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