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General NPI Number Information
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NPI Number | 1932671732
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Entity Type | Individual
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Provider Name | NOLON DANT M. ED., LPCC
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Gender | Male
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 1015 DORSEY LN
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City | LOUISVILLE
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State | KY
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Zip | 40223-2612
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Country | US
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Telephone | 502-271-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 S BROOK ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2716
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Country | US
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Telephone | 502-472-0057
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 239851
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 264455
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License Number State | KY
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