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General NPI Number Information
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NPI Number | 1982532685
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Entity Type | Individual
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Provider Name | NICHOLAS AARON ROOKSTOOL
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Gender | Male
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 979 ROCKY HILL RD
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City | RONCEVERTE
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State | WV
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Zip | 24970-8028
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Country | US
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Telephone | 304-645-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 133 TRAIL LN
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City | WHITE SULPHUR SPRINGS
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State | WV
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Zip | 24986-4091
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Country | US
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Telephone | 304-575-3856
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 002259
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License Number State | WV
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