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General NPI Number Information
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NPI Number | 1730050006
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS NICHOLL JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1201 LANGHORNE NEWTOWN RD STE 1
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City | LANGHORNE
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State | PA
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Zip | 19047-1295
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Country | US
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Telephone | 215-710-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 290 CHARLES ST
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-3626
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Country | US
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Telephone | 267-752-5842
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA067023
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0012360
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License Number State | DE
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