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General NPI Number Information
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NPI Number | 1407317324
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Entity Type | Individual
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Provider Name | JAMES PATRICK NOLAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 540 LITCHFIELD ST
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City | TORRINGTON
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State | CT
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Zip | 06790-6679
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Country | US
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Telephone | 860-496-8990
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Fax | 860-496-7301
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-1921
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Country | US
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Telephone | 860-679-2147
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Fax | 860-679-4624
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 78835
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License Number State | CT
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