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General NPI Number Information
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NPI Number | 1932810264
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Entity Type | Individual
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Provider Name | ZACHARIAH NOLTEMEYER DNP
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Gender | Male
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 135 W 10TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28202
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Country | US
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Telephone | 980-265-8869
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Fax |
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Provider Business Mailing Address
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Address Line | 135 W 10TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28202
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Country | US
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Telephone | 843-735-9676
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017324
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022061621
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License Number State | NC
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