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General NPI Number Information
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NPI Number | 1750054672
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Entity Type | Individual
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Provider Name | NICHOLAS CONRAD DC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 8765 STOCKARD DR STE 901
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City | FRISCO
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State | TX
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Zip | 75034-8009
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Country | US
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Telephone | 469-649-3707
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 WHITESTONE LN APT 1431
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City | PLANO
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State | TX
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Zip | 75024-3039
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Country | US
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Telephone | 417-350-5722
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14811
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License Number State | TX
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