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General NPI Number Information
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NPI Number | 1942757109
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Entity Type | Individual
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Provider Name | NICHOLAS DRUZINSKI
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Gender | Male
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1225 TRIUMPH CT
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City | LAS VEGAS
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State | NV
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Zip | 89117-7122
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Country | US
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Telephone | 702-350-2652
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Fax | 775-571-8976
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Provider Business Mailing Address
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Address Line | 1225 TRIUMPH CT
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City | LAS VEGAS
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State | NV
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Zip | 89117-7122
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Country | US
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Telephone | 248-930-2554
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 16-0760
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 16-0760
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License Number State | NV
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