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General NPI Number Information
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NPI Number | 1932783966
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Entity Type | Individual
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Provider Name | NICOLENA COLLETTE D'SOLA NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 106 JAMIE CT APT A9
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City | CARY
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State | NC
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Zip | 27511-4835
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Country | US
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Telephone | 571-521-9751
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5014391
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License Number State | NC
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