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General NPI Number Information
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NPI Number | 1568539286
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Entity Type | Individual
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Provider Name | JEFFREY M NOEL O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 2240 E HIGHWAY 114 STE 620
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City | TROPHY CLUB
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State | TX
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Zip | 76262-6728
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Country | US
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Telephone | 682-831-0999
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Fax | 682-831-0998
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Provider Business Mailing Address
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Address Line | 2001 E HIGHWAY 114 STE 180
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City | TROPHY CLUB
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State | TX
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Zip | 76262-6656
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Country | US
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Telephone | 682-831-0999
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 005588TG
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License Number State | TX
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