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General NPI Number Information
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NPI Number | 1215848767
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Entity Type | Individual
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Provider Name | JENNIFER LEAH NOBLE
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 101 FORBES DR
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City | MARTINSBURG
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State | WV
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Zip | 25404-0002
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Country | US
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Telephone | 304-292-4096
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 MONUMENT RD
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City | MYERSVILLE
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State | MD
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Zip | 21773-8514
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Country | US
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Telephone | 540-454-7660
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0015316
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License Number State | WV
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