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General NPI Number Information
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NPI Number | 1427610583
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Entity Type | Individual
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Provider Name | NOAH ANGELO PAGANO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4420 LAKE BOONE TRL
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City | RALEIGH
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State | NC
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Zip | 27607-7505
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Country | US
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Telephone | 919-784-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 150 PETERS CREEK PKWY APT 213
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3684
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Country | US
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Telephone | 919-259-1454
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6200
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 259569
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 259569
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024196033
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License Number State | VA
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