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General NPI Number Information
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NPI Number | 1942277447
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Entity Type | Individual
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Provider Name | DAVID P NICHOLSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-416-6894
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Fax | 850-416-2487
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Provider Business Mailing Address
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Address Line | PO BOX 100559
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City | FLORENCE
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State | SC
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Zip | 29501-0559
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Country | US
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Telephone | 843-664-4300
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Fax | 843-664-4308
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME27597
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License Number State | FL
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