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General NPI Number Information
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NPI Number | 1841156163
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Entity Type | Individual
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Provider Name | NICHOLAS CREAHAN DPT
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Gender | Male
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 725 WILCOX ST # 80104
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1740
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Country | US
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Telephone | 720-457-5535
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Fax | 720-457-5535
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Provider Business Mailing Address
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Address Line | 7331 S CLERMONT DR
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City | CENTENNIAL
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State | CO
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Zip | 80122-2242
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Country | US
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Telephone | 714-350-6978
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 0021032
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License Number State | CO
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