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General NPI Number Information
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NPI Number | 1881048155
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Entity Type | Organization
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Legal Business Name | P NICHOLAS ENTERPRISES LLC
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 285 LINFIELD RD
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City | PARKERFORD
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State | PA
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Zip | 19457
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Country | US
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Telephone | 610-960-0142
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Fax | 610-754-9266
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Provider Business Mailing Address
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Address Line | 2327 COLFLESH RD
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City | PERKIOMENVILLE
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State | PA
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Zip | 18074-9526
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Country | US
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Telephone | 610-960-0142
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Fax | 610-754-9266
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Authorized Official
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Title or Position | CEO
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Name | THERESA JOBSON
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Credential |
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Telephone | 610-960-0142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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