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General NPI Number Information
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NPI Number | 1376159459
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Entity Type | Individual
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Provider Name | MISTY D NOLAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY STE 24
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City | HOBBS
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State | NM
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Zip | 88240-9135
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Country | US
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Telephone | 575-393-3168
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Fax |
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Provider Business Mailing Address
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Address Line | 36 E TWOHIG AVE STE 600
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City | SAN ANGELO
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State | TX
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Zip | 76903-6486
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Country | US
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Telephone | 325-944-2561
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2025-0435
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License Number State | NM
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