MEDICARE: DUCK SUN NOEL

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
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1518783612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUCK SUN NOEL

Provider Business Mailing Address
First Line	:	13843 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-764-9530
Fax Number	:

Provider Business Practice Location Address
First Line	:	13843 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-764-9530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2024
Last Update Date	:	11/23/2024

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Directions to “ DUCK SUN NOEL ” Practice Location

Language	Start Address	Practice Location

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