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General NPI Number Information
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NPI Number | 1669055844
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Entity Type | Organization
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Legal Business Name | NOBLE HEALTH AND BEHAVIORAL CARES SERVICES LLC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 3 W PATAPSCO AVE
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City | BROOKLYN
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State | MD
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Zip | 21225-1604
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Country | US
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Telephone | 443-351-8926
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Fax | 443-273-1186
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Provider Business Mailing Address
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Address Line | 4714 STELLABROOKE LN
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City | ROSEDALE
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State | MD
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Zip | 21237-3744
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Country | US
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Telephone | 443-351-8926
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Fax | 443-273-1186
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Authorized Official
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Title or Position | CEO/PROVIDER
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Name | ESTHER CHIKWE
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Credential | CRNP-PMHNP
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Telephone | 443-351-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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