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General NPI Number Information
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NPI Number | 1811500457
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Entity Type | Individual
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Provider Name | NIKOLAS SCOTT KAMINSKI NREMT
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Gender | Male
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 111 E CHURCH ST STE B
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City | LIGONIER
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State | PA
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Zip | 15658-1257
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Country | US
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Telephone | 724-238-2099
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Fax | 724-238-2119
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Provider Business Mailing Address
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Address Line | 5184 WATTERS RD
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City | LOWER BURRELL
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State | PA
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Zip | 15068-8701
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Country | US
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Telephone | 724-681-9827
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT008575
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License Number State | PA
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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 | PT033797
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License Number State | PA
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