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General NPI Number Information
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NPI Number | 1932008703
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Entity Type | Individual
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Provider Name | NICOLETTE KATHLEEN DEIULIIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 135 TECHNOLOGY DR STE 100
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City | CANONSBURG
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State | PA
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Zip | 15317-9549
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Country | US
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Telephone | 724-585-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 214 SEEGAR RD
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City | PITTSBURGH
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State | PA
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Zip | 15241-2126
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Country | US
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Telephone | 412-627-3940
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT034718
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License Number State | PA
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