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General NPI Number Information
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NPI Number | 1750248688
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Entity Type | Organization
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Legal Business Name | NOANT HEALTH MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 167 MOORE RD STE 201
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City | KING
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State | NC
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Zip | 27021-8770
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Country | US
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Telephone | 336-718-2560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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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 | MANAGER
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Name | LEEA JEANINE WALTON
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Credential |
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Telephone | 336-515-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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