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General NPI Number Information
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NPI Number | 1497117154
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Entity Type | Individual
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Provider Name | CYNTHIA ERONMWON NOBLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1727 CHUCKWA DR STE 100
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City | DURANT
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State | OK
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Zip | 74701-2151
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Country | US
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Telephone | 580-931-8848
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Fax | 580-931-8877
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7211
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Fax | 615-628-6877
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10371
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5540
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License Number State | OK
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