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General NPI Number Information
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NPI Number | 1134527666
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Entity Type | Organization
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Legal Business Name | NOBLE MEDICAL CARE
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 6760 MARKET STREET 1ST FLOOR
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City | UPPER DARBY
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State | PA
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Zip | 19082
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Country | US
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Telephone | 215-867-9865
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Fax |
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Provider Business Mailing Address
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Address Line | 6760 MARKET STREET 1ST FLOOR
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City | UPPER DARBY
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State | PA
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Zip | 19082
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Country | US
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Telephone | 215-867-9865
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIKAS KHURANA
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Credential | MD
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Telephone | 215-867-9865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD430150
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD429084
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License Number State | PA
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