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General NPI Number Information
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NPI Number | 1619578663
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Entity Type | Organization
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Legal Business Name | NOLES MEDICAL SERVICES
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1775 LEWIS TURNER BLVD STE 101
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1277
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Country | US
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Telephone | 850-924-2933
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Fax | 850-848-6346
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Provider Business Mailing Address
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Address Line | 351 CHANNELSIDE WALK WAY APT 4405
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City | TAMPA
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State | FL
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Zip | 33602-6765
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Country | US
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Telephone | 313-600-5589
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMIRA NOLES
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Credential | M.D.
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Telephone | 313-600-5589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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