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General NPI Number Information
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NPI Number | 1144582545
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Entity Type | Individual
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Provider Name | ROBERT GEORGE NOLAN RPH.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 250 E 90TH ST
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City | DAVENPORT
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State | IA
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Zip | 52806-7340
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Country | US
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Telephone | 563-285-2613
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Fax | 563-285-2655
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Provider Business Mailing Address
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Address Line | 250 E 90TH ST
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City | DAVENPORT
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State | IA
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Zip | 52806-7340
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Country | US
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Telephone | 563-285-2613
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Fax | 563-285-2655
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13960
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22453
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15918
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12143
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | T-12306
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14159
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11724
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License Number State | OR
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