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General NPI Number Information
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NPI Number | 1750280152
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Entity Type | Organization
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Legal Business Name | NOBEL HOME SERVICE LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 5571 MAMMOTH DR SE
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City | CALEDONIA
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State | MI
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Zip | 49316-8865
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Country | US
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Telephone | 585-698-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 5571 MAMMOTH DR SE
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City | CALEDONIA
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State | MI
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Zip | 49316-8865
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Country | US
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Telephone | 585-698-8346
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | NUNDU BIENVENUE
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Credential |
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Telephone | 585-698-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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