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General NPI Number Information
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NPI Number | 1396828588
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Entity Type | Individual
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Provider Name | LUCIO MANLIO NOBILE MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 7300 N FRESNO -PALM 3
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City | FRESNO
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State | CA
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Zip | 93720-9372
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Country | US
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Telephone | 559-448-5524
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 N THESTA ST STE 204
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City | FRESNO
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State | CA
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Zip | 93710-5294
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Country | US
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Telephone | 559-650-4831
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Fax | 559-650-4790
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A81546
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A81546
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License Number State | CA
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