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General NPI Number Information
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NPI Number | 1033517693
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Entity Type | Individual
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Provider Name | ELIZABETH ANN NOBLE ED.S
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Gender | Female
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 7630 BETHANY RD
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-9583
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Country | US
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Telephone | 513-588-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 13726 NEW HARMONY SHILOH RD
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City | MOUNT ORAB
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State | OH
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Zip | 45154-9148
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Country | US
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Telephone | 513-543-4367
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3107996
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License Number State | OH
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