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General NPI Number Information
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NPI Number | 1205288248
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Entity Type | Organization
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Legal Business Name | NOBLE CHIROPRACTIC
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 607 W STATE ROUTE 92 STE CC
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City | KEARNEY
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State | MO
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Zip | 64060-7521
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Country | US
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Telephone | 816-635-0022
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Fax | 816-929-6404
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Provider Business Mailing Address
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Address Line | 17411 ENDICOTT RD
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City | KEARNEY
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State | MO
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Zip | 64060-9317
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Country | US
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Telephone | 816-635-0022
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Fax | 816-929-6404
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ASHLEY MARIE NOBLE-AMERSON
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Credential |
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Telephone | 816-635-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2012013071
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License Number State | MO
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