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General NPI Number Information
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NPI Number | 1538982509
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Entity Type | Individual
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Provider Name | NICHOLAS RYAN TOPOLESKI DNP, MSN-ED, CNS, RN
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Gender | Male
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 11201 BENTON ST
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City | LOMA LINDA
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State | CA
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Zip | 92357-1000
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 1253 MILLS AVE
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City | REDLANDS
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State | CA
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Zip | 92373-4969
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Country | US
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Telephone | 513-214-8595
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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 | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 5168
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License Number State | CA
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