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General NPI Number Information
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NPI Number | 1881788040
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Entity Type | Individual
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Provider Name | JOE A NICHOLS MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 206 E PLEASANT ST
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City | CYNTHIANA
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State | KY
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Zip | 41031
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Country | US
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Telephone | 859-234-1900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | CYNTHIANA
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State | KY
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Zip | 41031
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Country | US
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Telephone | 859-234-1900
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13681
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License Number State | KY
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