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General NPI Number Information
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NPI Number | 1194063974
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Entity Type | Organization
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Legal Business Name | DR. GENE NOONAN INC
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 1641 ASBURY RD
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City | DUBUQUE
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State | IA
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Zip | 52001-5729
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Country | US
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Telephone | 563-556-8464
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Fax | 563-556-0879
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Provider Business Mailing Address
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Address Line | 1641 ASBURY RD
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City | DUBUQUE
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State | IA
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Zip | 52001-5729
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Country | US
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Telephone | 563-556-8464
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Fax | 563-556-0879
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Authorized Official
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Title or Position | DC
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Name | DR. GENE NOONAN
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Credential | DC
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Telephone | 563-556-8464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A05341
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License Number State | IA
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