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General NPI Number Information
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NPI Number | 1841185600
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Entity Type | Organization
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Legal Business Name | NOLIA MEDICAL SERVICES PC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 16922 AIRPORT BLVD RM 30
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City | MOJAVE
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State | CA
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Zip | 93501-1655
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Country | US
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Telephone | 855-621-0466
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Fax | 888-471-4927
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Provider Business Mailing Address
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Address Line | 500 WESTOVER DR # 36674
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City | SANFORD
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State | NC
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Zip | 27330-8941
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Country | US
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Telephone | 855-621-0466
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Fax | 888-471-4927
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | ALICE ALLEN-REDFERN
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Credential |
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Telephone | 425-494-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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