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General NPI Number Information
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NPI Number | 1225753056
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Entity Type | Individual
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Provider Name | ISABEL MARIE NOLTE PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 18400 KATY FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77094-1287
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Country | US
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Telephone | 832-522-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 20335 EDEN PNES
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City | SPRING
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State | TX
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Zip | 77379-2562
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Country | US
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Telephone | 832-731-0185
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16130
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA16130
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License Number State | TX
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