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General NPI Number Information
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NPI Number | 1992426704
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Entity Type | Individual
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Provider Name | CLAIRE E. NICKSON OT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 20821 US HIGHWAY 281 N STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7594
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Country | US
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Telephone | 210-610-4480
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Fax | 210-334-0948
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Provider Business Mailing Address
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Address Line | 12952 BANDERA RD
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City | HELOTES
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State | TX
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Zip | 78023-4689
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Country | US
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Telephone | 210-253-3888
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Fax | 210-253-3889
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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 | 5201013053
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License Number State | MI
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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 | 5201013053
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 125500
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License Number State | TX
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