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General NPI Number Information
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NPI Number | 1649508730
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Entity Type | Organization
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Legal Business Name | NICHOLAS E NOMICOS MD INC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 327 TRINITY AVE
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City | CHOWCHILLA
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State | CA
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Zip | 93610-2860
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Country | US
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Telephone | 559-665-5550
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Fax | 559-715-4545
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Provider Business Mailing Address
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Address Line | 327 TRINITY AVE
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City | CHOWCHILLA
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State | CA
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Zip | 93610-2860
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Country | US
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Telephone | 559-665-5550
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Fax | 559-715-4545
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS EUGENE NOMICOS
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Credential | MD
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Telephone | 559-665-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A49055
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License Number State | CA
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