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General NPI Number Information
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NPI Number | 1437865714
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Entity Type | Organization
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Legal Business Name | NOBLE HEARTS AGENCY, LLC
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 5222 S EAST ST STE B6
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1983
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Country | US
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Telephone | 317-672-4819
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Fax | 317-672-4831
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Provider Business Mailing Address
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Address Line | 5222 S EAST ST STE B6
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1983
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Country | US
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Telephone | 317-672-4819
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Fax | 317-672-4831
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Authorized Official
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Title or Position | MANAGER
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Name | ELIAS ENCI
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Credential |
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Telephone | 317-985-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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