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Individual
DR. PATRICIA A NICOLATO
Active
Individual
DR. PATRICIA A NICOLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0102201601
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010085276
—
VA
05
—
1366520652
—
VA
01
—
301727
ANTHEM
VA
01
—
351521
ANTHEM
VA
01
—
355161
ANTHEM
VA
Enumeration date
11/02/2006
Last updated
02/16/2009
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