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General NPI Number Information
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NPI Number | 1568543247
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Entity Type | Individual
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Provider Name | MARGARET R NOLAN DNP, GNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 14TH
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST # 4
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 212-305-7771
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 340184
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340184
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License Number State | NY
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