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General NPI Number Information
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NPI Number | 1548214091
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Entity Type | Individual
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Provider Name | DONNA CORONEL NOLL D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1251 HILL RD N SUITE 103
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City | PICKERINGTON
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State | OH
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Zip | 43147-9097
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Country | US
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Telephone | 614-575-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 817 MONARDA PL
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-6717
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Country | US
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Telephone | 614-861-2629
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 21768
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License Number State | OH
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