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General NPI Number Information
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NPI Number | 1659184810
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Entity Type | Individual
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Provider Name | NIKKITA CROZIER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 599 TOMALES RD
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City | PETALUMA
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State | CA
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Zip | 94952-5002
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Country | US
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Telephone | 707-765-7200
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Fax | 707-765-7521
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Provider Business Mailing Address
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Address Line | 37 LIPTON WAY
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City | COTATI
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State | CA
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Zip | 94931-4525
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Country | US
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Telephone | 806-470-1772
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4879
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License Number State | NV
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