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General NPI Number Information
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NPI Number | 1548108335
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Entity Type | Organization
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Legal Business Name | NOBLE IMMUNITY LLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 202 MT HOOD ST
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City | MOXEE
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State | WA
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Zip | 98936-9387
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Country | US
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Telephone | 509-901-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 202 MT HOOD ST
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City | MOXEE
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State | WA
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Zip | 98936-9387
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Country | US
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Telephone | 509-901-8289
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ANTONIO CARDENAS
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Credential | PHARMD
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Telephone | 509-901-8289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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