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General NPI Number Information
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NPI Number | 1841447331
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN NOLAN O.T.R.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 27525 ENTERPRISE CIR W SUITE # 101 C
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City | TEMECULA
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State | CA
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Zip | 92590-4884
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Country | US
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Telephone | 951-676-7693
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Fax | 951-676-7830
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Provider Business Mailing Address
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Address Line | 27525 ENTERPRISE CIR W SUITE # 101 C
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City | TEMECULA
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State | CA
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Zip | 92590-4884
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Country | US
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Telephone | 951-676-7693
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Fax | 951-676-7830
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT 3984
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License Number State | CA
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