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General NPI Number Information
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NPI Number | 1538227335
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Entity Type | Organization
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Legal Business Name | NICOLAS DIKIO MD INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 13939 SAN ANTONIO DR
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City | NORWALK
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State | CA
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Zip | 90650-4036
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Country | US
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Telephone | 562-863-0552
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Fax |
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Provider Business Mailing Address
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Address Line | 3791 KATELLA AVE STE 209
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3105
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Country | US
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Telephone | 562-594-0806
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. NICOLAS DIKIO
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Credential | MD
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Telephone | 562-863-0552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A40344
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License Number State | CA
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