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General NPI Number Information
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NPI Number | 1851626329
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Entity Type | Individual
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Provider Name | SETH LAWRENCE NOLAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 115 HEART DR ECU PHYSICIANS CARDIOVASCULAR SURGERY
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City | GREENVILLE
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State | NC
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Zip | 27834-8982
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Country | US
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Telephone | 252-744-4400
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Fax | 252-744-3987
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Provider Business Mailing Address
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Address Line | 6150 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1574
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Country | US
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Telephone | 614-546-4808
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Fax | 614-546-4627
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.098903
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2016-00429
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License Number State | NC
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