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General NPI Number Information
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NPI Number | 1811252216
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Entity Type | Individual
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Provider Name | NICHOLAS PROCH BILLINGS DO
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 240 HOSPITAL DR NE
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City | BOLIVIA
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State | NC
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Zip | 28422-8346
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Country | US
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Telephone | 910-721-1000
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Fax | 910-754-2032
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Provider Business Mailing Address
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Address Line | PO BOX 3439
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-0439
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Country | US
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Telephone | 843-839-4447
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Fax | 843-399-0123
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LP02568
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2016-00233
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License Number State | NC
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