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General NPI Number Information
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NPI Number | 1215124557
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Entity Type | Individual
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Provider Name | BILL S NOLAND JR. CRNP
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 2609 VILLAGE PROFESSIONAL DR SUITE 3
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City | OPELIKA
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State | AL
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Zip | 36801-4785
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Country | US
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Telephone | 334-749-6523
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Fax | 334-742-0242
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Provider Business Mailing Address
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Address Line | 2609 VILLAGE PROFESSIONAL DR SUITE 3
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City | OPELIKA
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State | AL
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Zip | 36801-4785
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Country | US
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Telephone | 334-749-6523
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Fax | 334-742-0242
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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 | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | 1-041332
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2716
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License Number State | AL
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