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General NPI Number Information
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NPI Number | 1568096766
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Entity Type | Individual
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Provider Name | DAWNITA NOLAN M.ED.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 612 S MYRTLE AVE STE 100
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City | MONROVIA
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State | CA
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Zip | 91016-3406
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Country | US
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Telephone | 909-360-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 612 S MYRTLE AVE STE 100
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City | MONROVIA
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State | CA
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Zip | 91016-3406
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 20110487
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License Number State | OK
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