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General NPI Number Information
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NPI Number | 1558514075
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Entity Type | Individual
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Provider Name | NATHAN MICHAEL NOLTE PNP
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 7211 PRESTON RD STE 1200
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 214-456-9250
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 MEREDITH LN APT. #111
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City | PLANO
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State | TX
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Zip | 75093-4664
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Country | US
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Telephone | 214-456-0463
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 694177
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License Number State | TX
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