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General NPI Number Information
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NPI Number | 1477063568
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Entity Type | Individual
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Provider Name | MELINDA SUE NOBLE
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 561 S DENALI ST STE E
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City | PALMER
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State | AK
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Zip | 99645-6464
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Country | US
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Telephone | 907-745-1777
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Fax | 907-745-0226
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Provider Business Mailing Address
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Address Line | 561 S DENALI ST STE E
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City | PALMER
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State | AK
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Zip | 99645-6464
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Country | US
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Telephone | 907-745-0226
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Fax | 907-745-0226
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 125786
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License Number State | AK
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