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General NPI Number Information
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NPI Number | 1598893091
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Entity Type | Organization
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Legal Business Name | STACIE L NOE, DDS, APDC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 212 W MINNESOTA PARK RD
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City | HAMMOND
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State | LA
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Zip | 70403-6125
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Country | US
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Telephone | 985-542-3368
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Fax | 985-543-3335
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Provider Business Mailing Address
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Address Line | 212 W MINNESOTA PARK RD
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City | HAMMOND
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State | LA
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Zip | 70403-6125
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Country | US
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Telephone | 985-542-3368
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Fax | 985-543-3335
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Authorized Official
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Title or Position | DENTIST-CO-OWNER
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Name | DR. STACIE LYNN NOE
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Credential | D.D.S.
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Telephone | 985-542-3368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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