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General NPI Number Information
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NPI Number | 1831087691
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Entity Type | Individual
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Provider Name | TROY NICHOLS
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Gender | Male
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 21118 MARKET RIDGE
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-874-2074
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 PALMER CIRCLE, SUITE 100
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City | NORMAN
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State | OK
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Zip | 73069
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-448168
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License Number State |
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