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General NPI Number Information
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NPI Number | 1174867436
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Entity Type | Organization
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Legal Business Name | NOBLE ACADEMY
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 9477 DECATUR DR N
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City | BROOKLYN PARK
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State | MN
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Zip | 55445-3400
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Country | US
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Telephone | 763-592-7706
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Fax | 763-592-7707
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Provider Business Mailing Address
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Address Line | 9477 DECATUR DR N
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City | BROOKLYN PARK
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State | MN
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Zip | 55445-3400
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Country | US
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Telephone | 763-592-7706
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Fax | 763-592-7707
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | NEAL P. THAO
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Credential |
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Telephone | 763-592-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 14412622
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License Number State | MN
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