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General NPI Number Information
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NPI Number | 1134657844
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Entity Type | Individual
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Provider Name | NOLAN BAUGH ATC
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Gender | Male
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 201 E GREENE ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-3519
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Country | US
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Telephone | 478-387-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 748 LAKE LAUREL RD NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-8451
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Country | US
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Telephone | 478-456-0741
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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