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General NPI Number Information
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NPI Number | 1548313141
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Entity Type | Organization
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Legal Business Name | NOIA RESIDENTIAL SERVICES INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 5555 N MAROA
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City | FRESNO
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State | CA
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Zip | 93704
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Country | US
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Telephone | 559-435-9096
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Fax | 559-435-9096
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Provider Business Mailing Address
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Address Line | 606 E BELMONT AVE
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City | FRESNO
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State | CA
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Zip | 93701-1527
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Country | US
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Telephone | 559-485-5555
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Fax | 559-485-8919
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LUCIA E NOIA
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Credential |
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Telephone | 559-485-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 040000233
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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