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General NPI Number Information
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NPI Number | 1275120834
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Entity Type | Individual
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Provider Name | MICHELE NOBLE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 42009 VICTORY LN
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City | LEESBURG
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State | VA
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Zip | 20176-6269
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Country | US
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Telephone | 703-777-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 BEECHLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1752
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Country | US
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Telephone | 443-974-7515
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701010162
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License Number State | VA
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