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General NPI Number Information
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NPI Number | 1700925211
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Entity Type | Individual
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Provider Name | NOEL SERRANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 6117 FAIRLANE DR
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City | OAKLAND
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State | CA
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Zip | 94611-1807
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Country | US
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Telephone | 707-535-9279
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Fax | 707-303-8301
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Provider Business Mailing Address
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Address Line | PO BOX 16309
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City | JACKSONVILLE
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State | FL
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Zip | 32245-6309
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-112248
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A108658
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License Number State | CA
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