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General NPI Number Information
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NPI Number | 1740172881
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Entity Type | Organization
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Legal Business Name | NOLAN SPORT & FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 5707 REDWOOD RD STE 7
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City | OAKLAND
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State | CA
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Zip | 94619-2400
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Country | US
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Telephone | 510-610-9210
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Fax | 510-389-3100
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Provider Business Mailing Address
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Address Line | 81 DONNA WAY
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City | OAKLAND
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State | CA
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Zip | 94605-5037
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Country | US
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Telephone | 310-918-7436
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Fax |
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Authorized Official
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Title or Position | OWNER, DOCTOR OF CHIROPRACTIC
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Name | DR. JENNIFER I NOLAN
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Credential | DC
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Telephone | 310-918-7436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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