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General NPI Number Information
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NPI Number | 1871342063
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Entity Type | Individual
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Provider Name | DANIEL WAYNE NICHOLS LMT
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Gender | Male
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Dates
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Enumeration Date | 05/18/2024
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Last Update Date | 05/18/2024
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Provider Practice Location Address
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Address Line | 118 S KIMBERLY AVE
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City | SOMERSET
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State | PA
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Zip | 15501-2069
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Country | US
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Telephone | 724-708-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 1857 SANDY RUN RD
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City | CONFLUENCE
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State | PA
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Zip | 15424-2643
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Country | US
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Telephone | 724-708-1133
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG013656
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License Number State | PA
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