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General NPI Number Information
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NPI Number | 1912880261
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Entity Type | Individual
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Provider Name | NICHOLAS CHRISTOPHER DECHANT FNP-C, MSN
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Gender | Male
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4953 VINCENT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90041-2218
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Country | US
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Telephone | 323-875-2775
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95193224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95036966
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License Number State | CA
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