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General NPI Number Information
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NPI Number | 1922517325
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Entity Type | Individual
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Provider Name | TIMOTHY NICHOL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 105 MALL BLVD
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City | MONROEVILLE
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State | PA
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Zip | 15146-2213
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Country | US
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Telephone | 800-283-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 HIGH STAKES CIR APT 319
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City | PARKTON
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State | NC
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Zip | 28371-9112
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Country | US
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Telephone | 412-328-4842
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27424
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP452026
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License Number State | PA
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