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General NPI Number Information
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NPI Number | 1487003224
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Entity Type | Organization
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Legal Business Name | NOEL E. SOBING
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 10152 STAR MAGNOLIA LN
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City | SANTEE
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State | CA
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Zip | 92071-7217
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Country | US
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Telephone | 626-716-7657
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Fax |
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Provider Business Mailing Address
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Address Line | 10152 STAR MAGNOLIA LN
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City | SANTEE
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State | CA
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Zip | 92071-7217
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Country | US
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Telephone | 626-716-7657
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MR. NOEL ELATICO SOBING
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Credential | NP
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Telephone | 626-716-7657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 23570
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License Number State | CA
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