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General NPI Number Information
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NPI Number | 1912296625
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Entity Type | Individual
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Provider Name | NICOLE FOX HANRAHAN
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Gender | Female
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2525 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2800
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Country | US
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Telephone | 877-749-7428
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 WOODSTEAD CT STE 208
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1480
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Country | US
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Telephone | 877-749-7428
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Fax | 512-628-3314
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME147841
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0116023408
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 144755
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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