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General NPI Number Information
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NPI Number | 1780460220
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Entity Type | Individual
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Provider Name | NICOLE CHERIE DOOLITTLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28207-1112
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Country | US
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Telephone | 704-364-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 LITTLE PKWY
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City | SHERRILLS FORD
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State | NC
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Zip | 28673-9114
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Country | US
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Telephone | 704-572-1855
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-13722
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-13722
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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