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General NPI Number Information
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NPI Number | 1558797076
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Entity Type | Individual
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Provider Name | JONNA NOBLES NNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 03/08/2014
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Provider Practice Location Address
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Address Line | 919 E 32ND ST
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City | AUSTIN
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State | TX
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Zip | 78705-2703
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Country | US
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Telephone | 512-544-5189
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Fax |
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Provider Business Mailing Address
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Address Line | 363 DRY CREEK RD
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City | AUSTIN
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State | TX
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Zip | 78737-4625
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Country | US
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Telephone | 512-904-9151
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 692700
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License Number State | TX
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