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General NPI Number Information
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NPI Number | 1225138720
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH NOLAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 WESTSIDE DR
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City | DOTHAN
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State | AL
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Zip | 36303-1908
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Country | US
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Telephone | 334-793-2237
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Fax | 334-712-6256
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Provider Business Mailing Address
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Address Line | 100 WESTSIDE DR
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City | DOTHAN
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State | AL
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Zip | 36303-1908
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Country | US
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Telephone | 334-793-2237
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Fax | 334-712-6256
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 283
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #9
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 283
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License Number State | AL
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Taxonomy #11
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 283
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License Number State | AL
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