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General NPI Number Information
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NPI Number | 1609572791
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Entity Type | Individual
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Provider Name | NOELLE DECELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 5941 DALLAS PKWY
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City | PLANO
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State | TX
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Zip | 75093-9001
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Country | US
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Telephone | 972-758-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 WITTINGTON PL APT 1191
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-1918
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Country | US
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Telephone | 951-235-6151
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16272
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License Number State | TX
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