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General NPI Number Information
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NPI Number | 1104735810
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Entity Type | Organization
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Legal Business Name | NOBLE CARE AFH LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 2708 MICHIGAN AVE
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City | STEVENS POINT
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State | WI
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Zip | 54481-4737
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Country | US
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Telephone | 715-315-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 2708 MICHIGAN AVE
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City | STEVENS POINT
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State | WI
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Zip | 54481-4737
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Country | US
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Telephone | 715-315-1770
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | AMAL MOHAMED
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Credential |
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Telephone | 612-598-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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