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General NPI Number Information
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NPI Number | 1316916596
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Entity Type | Individual
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Provider Name | REBECCA L NOBLE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 880 EAST END RD SELDOVIA VILLAGE TRIBE
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City | HOMER
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State | AK
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Zip | 99603
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Country | US
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Telephone | 907-226-2228
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Fax | 907-226-2230
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Provider Business Mailing Address
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Address Line | PO BOX 39285
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City | NINILCHIK
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State | AK
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Zip | 99639-0285
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Country | US
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Telephone | 907-567-4443
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AK541
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License Number State | AK
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