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General NPI Number Information
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NPI Number | 1568606572
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Entity Type | Individual
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Provider Name | ELIZABETH LABUZ NOBLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 13575 NW 1ST LN STE 10
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City | NEWBERRY
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State | FL
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Zip | 32669-3735
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Country | US
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Telephone | 352-260-0170
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Fax | 352-559-3978
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Provider Business Mailing Address
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Address Line | 13575 NW 1ST LN STE 10
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City | NEWBERRY
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State | FL
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Zip | 32669-3735
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Country | US
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Telephone | 352-260-0170
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Fax | 352-559-3978
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036158376
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME132763
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 036158376
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME132763
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License Number State | FL
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