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NPI Code Detail

MEDICARE: TINA MARIE SCOBLE

MEDICARE: TINA MARIE SCOBLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22003548AIN

General Provider Information

NPI Number : 1124545140
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA MARIE SCOBLE
Provider Business Mailing Address
First Line : 15044 MANCROFT DR
Second Line :
City : FISHERS
State : IN
Zip : 46037-5514
Country : US
Telephone Number : 317-294-2592
Fax Number :
Provider Business Practice Location Address
First Line : 10340 PLEASANT ST STE 100
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3947
Country : US
Telephone Number : 317-776-9000
Fax Number : 317-776-9016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 08/30/2017

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Directions to “ TINA MARIE SCOBLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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