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General NPI Number Information
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NPI Number | 1689275828
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Entity Type | Individual
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Provider Name | MELISSA ANNE NOBLE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1315 JAMESTOWN RD STE 203
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3303
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Country | US
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Telephone | 757-603-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 5408 CENTER ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2990
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Country | US
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Telephone | 757-647-9037
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810006253
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License Number State | VA
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