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General NPI Number Information
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NPI Number | 1619697141
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Entity Type | Organization
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Legal Business Name | NOBLE ONE ENTERPRISES, LLC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/25/2022
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Provider Practice Location Address
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Address Line | 4431 BUENTELLO DR
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City | KATY
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State | TX
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Zip | 77449-2237
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Country | US
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Telephone | 347-301-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 21040 HIGHLAND KNOLLS DR STE 200
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City | KATY
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State | TX
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Zip | 77450-1581
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Country | US
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Telephone | 347-301-1039
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | GRACE A OSINDERO
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Credential |
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Telephone | 347-301-1039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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