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NPI 1528921889

NPI 1528921889 : NIKOL SNELL PT, DPT : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1528921889
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    Entity Type          |    Individual 
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    Provider Name        |    NIKOL SNELL PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/04/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    8 MEDICAL PLAZA DR STE 250 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-3107
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    Country              |    US
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    Telephone            |    916-755-7074
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    Fax                  |    916-755-7065
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Provider Business Mailing Address
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    Address Line         |    3682 RAMHORN RIDGE CT 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95765-6050
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    Country              |    US
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    Telephone            |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT306781
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    License Number State |    CA
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