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General NPI Number Information
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NPI Number | 1528955465
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Entity Type | Individual
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Provider Name | NICHOLAS KURFIS HAYWARD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1500 MEDICAL CENTER DR
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City | NASHVILLE
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State | TN
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Zip | 37232-0016
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Country | US
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Telephone | 615-322-4751
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 W END AVE APT 22
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City | NASHVILLE
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State | TN
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Zip | 37205-2446
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Country | US
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Telephone | 419-343-3436
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA013230
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA0000008207
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License Number State | TN
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