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General NPI Number Information
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NPI Number | 1528920691
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Entity Type | Individual
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Provider Name | KIMBERLY NOE PA
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Gender | Female
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 318 MAIN ST STE 165
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-3609
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Country | US
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Telephone | 508-936-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 MEADOWLAND LN APT E
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City | LOUISVILLE
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State | TN
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Zip | 37777-4847
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Country | US
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Telephone | 931-952-8311
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | MA
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