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Individual
STEVEN EARL NICHOLSON
Active
Individual
STEVEN EARL NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-028823-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020320
GATEWAY
PA
01
—
0008024
DORAL-AMERIHEALTH MERCY
PA
01
—
0017194170001
MEDICAL ACCESS
PA
01
—
761232
UNITED CONCORDIA
PA
01
—
85672
UNISON MED PLUS
PA
Enumeration date
09/24/2006
Last updated
03/04/2013
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