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General NPI Number Information
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NPI Number | 1912233198
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Entity Type | Individual
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Provider Name | KIMBERLY ALICE NOLAN NP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 4385 NEIL RD STE 105
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City | RENO
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State | NV
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Zip | 89502-5100
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Country | US
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Telephone | 775-325-7851
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Fax |
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Provider Business Mailing Address
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Address Line | 650 FERRARI MCLEOD BLVD PO BOX 11130
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City | RENO
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State | NV
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Zip | 89512-1060
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19383
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN001159
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License Number State | NV
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