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General NPI Number Information
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NPI Number | 1679982524
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Entity Type | Organization
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Legal Business Name | NOBLE SUB-ACUTE CARE SERVICES, INC.
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 752 HOLMES ST
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City | LIVERMORE
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State | CA
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Zip | 94550-4229
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Country | US
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Telephone | 925-447-2280
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Fax | 925-454-5335
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Provider Business Mailing Address
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Address Line | 125 SILVER OAK TER
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City | ORINDA
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State | CA
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Zip | 94563-1226
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Country | US
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Telephone | 925-447-2280
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Fax | 925-454-5335
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. ANELLI STAMM
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Credential | RN
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Telephone | 925-447-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 550003515
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License Number State | CA
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