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General NPI Number Information
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NPI Number | 1982557633
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Entity Type | Individual
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Provider Name | NICHOLAS LATTANZIO
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Gender | Male
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1695 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1165
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Country | US
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Telephone | 330-758-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 8591 CROSSROADS DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-4382
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Country | US
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Telephone | 330-758-0577
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022266
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License Number State | OH
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