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General NPI Number Information
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NPI Number | 1205931565
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Entity Type | Individual
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Provider Name | MICHAEL L NOBLE MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 700 PAUL HUFF PKWY NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2959
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Country | US
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Telephone | 423-380-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 4304 CAMRY DR
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City | COOKEVILLE
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State | TN
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Zip | 38501-9618
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Country | US
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Telephone | 859-699-3025
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40895
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 56262
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD21033
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License Number State | ME
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