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General NPI Number Information
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NPI Number | 1174805931
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER NOLAN MD INC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 24407 CALLE DE LA LOUISA SUITE 200
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3650
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Country | US
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Telephone | 949-364-2813
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Fax | 949-364-2873
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Provider Business Mailing Address
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Address Line | PO BOX 2567
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City | MISSION VIEJO
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State | CA
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Zip | 92690-0567
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Country | US
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Telephone | 949-364-2813
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Fax | 949-364-2873
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. CHRISTOPHER NOLAN
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Credential | MD
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Telephone | 949-364-2813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G39027
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License Number State | CA
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