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General NPI Number Information
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NPI Number | 1477539674
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Entity Type | Individual
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Provider Name | OSCAR NICHOLSON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1163 BERWICK LANE
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City | SOUTH EUCLID
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State | OH
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Zip | 44121
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Country | US
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Telephone | 216-691-0028
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Fax | 216-691-0030
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Provider Business Mailing Address
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Address Line | 1163 BERWICK LANE
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City | SOUTH EUCLID
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State | OH
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Zip | 44121
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Country | US
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Telephone | 216-407-2234
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Fax | 216-691-0030
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35056957
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License Number State | OH
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