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General NPI Number Information
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NPI Number | 1124480702
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Entity Type | Individual
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Provider Name | BRYCE RANDALL NOBLITT MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE C300
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-257-5405
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Fax | 859-323-5483
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Provider Business Mailing Address
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Address Line | 770 W HIGH ST STE 460
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City | LIMA
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State | OH
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Zip | 45801-5908
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Country | US
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Telephone | 419-226-4300
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35.141295
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 58936
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License Number State | KY
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