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General NPI Number Information
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NPI Number | 1043114556
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Entity Type | Organization
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Legal Business Name | KDA NOBLE GROUP LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1027 US HIGHWAY 70 W, SUITE 201
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City | GARNER
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State | NC
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Zip | 27529-2501
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Country | US
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Telephone | 984-383-1433
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Fax | 984-297-8771
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Provider Business Mailing Address
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Address Line | 1027 US HIGHWAY 70 W, SUITE 201
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City | GARNER
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State | NC
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Zip | 27529-2501
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Country | US
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Telephone | 984-383-1433
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Fax | 984-297-8771
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Authorized Official
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Title or Position | OWNER/AGENCY DIRECTOR
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Name | KRISTIE SPANGLER
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Credential | PTA, AOEE
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Telephone | 984-280-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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