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Individual
JAMES NICHOLAS CODE II
Active
Individual
JAMES NICHOLAS CODE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38541
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652542
ANTHEM
KY
01
—
3770833000
PASSPORT ADVANTAGE
KY
01
—
50027678
PASSPORT
KY
05
—
7100019460
—
KY
Enumeration date
02/26/2007
Last updated
12/02/2020
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