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General NPI Number Information
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NPI Number | 1336009620
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Entity Type | Individual
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Provider Name | ALISHA NOBLE
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1700 BETHANY AVE
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City | BETHANY
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State | MO
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Zip | 64424-8363
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Country | US
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Telephone | 660-425-6324
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Fax |
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Provider Business Mailing Address
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Address Line | 5281 290TH ST
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City | ALBANY
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State | MO
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Zip | 64402-8165
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Country | US
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Telephone |
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 2010002291
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License Number State | MO
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