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General NPI Number Information
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NPI Number | 1366983074
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Entity Type | Individual
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Provider Name | STEVEN NOYCE CST, CSFA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1152 VIA GALUPPI ST
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City | KISSIMMEE
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State | FL
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Zip | 34759-3942
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Country | US
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Telephone | 615-498-3164
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Fax |
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Provider Business Mailing Address
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Address Line | 315 NW ATLANTIC ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-3566
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Country | US
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Telephone | 931-841-3948
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Fax | 931-841-3906
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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