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General NPI Number Information
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NPI Number | 1730794611
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Entity Type | Individual
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Provider Name | NICHOLAS LAWLESS DPT
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Gender | Male
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 943 S BENEVA RD STE 204
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City | SARASOTA
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State | FL
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Zip | 34232-2472
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Country | US
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Telephone | 941-955-1850
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Fax | 941-955-1852
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Provider Business Mailing Address
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Address Line | 943 S BENEVA RD STE 306
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City | SARASOTA
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State | FL
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Zip | 34232-2499
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Country | US
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Telephone | 941-955-1108
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Fax | 941-954-4440
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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