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General NPI Number Information
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NPI Number | 1851246110
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Entity Type | Individual
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Provider Name | KATINA DANICA NICHOLAS
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 30 S MICHIGAN AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60603-3205
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Country | US
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Telephone | 312-977-1185
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Fax |
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Provider Business Mailing Address
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Address Line | 1457 N ASHLAND AVE APT 4S
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City | CHICAGO
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State | IL
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Zip | 60622-8092
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.033311
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License Number State | IL
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