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General NPI Number Information
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NPI Number | 1629292305
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Entity Type | Individual
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Provider Name | DR. NICHOLAS C. HOWARD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 9206 IVY BANKS DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-5169
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Country | US
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Telephone | 630-449-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 713 BLACKHAWK LN
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City | BOLINGBROOK
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State | IL
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Zip | 60440-6153
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Country | US
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Telephone | 331-244-0777
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.006875
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071-006875
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License Number State | IL
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