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General NPI Number Information
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NPI Number | 1528922366
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Entity Type | Individual
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Provider Name | NICHOLAS FERRARIO
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Gender | Male
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 9980 W GLENDALE AVE STE 110
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City | GLENDALE
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State | AZ
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Zip | 85307-3005
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Country | US
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Telephone | 623-335-3748
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Fax |
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Provider Business Mailing Address
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Address Line | 12802 N 48TH DR
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City | GLENDALE
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State | AZ
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Zip | 85304-2047
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Country | US
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Telephone | 408-858-1848
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | LPT-034540
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License Number State | AZ
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