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General NPI Number Information
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NPI Number | 1811197726
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Entity Type | Organization
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Legal Business Name | STELLA B. NOEL, M.D., APMC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 1211 COOLIDGE BLVD SUITE 400
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City | LAFAYETTE
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State | LA
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Zip | 70503-2638
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Country | US
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Telephone | 337-235-9779
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Fax | 337-235-0654
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Provider Business Mailing Address
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Address Line | 1211 COOLIDGE BLVD SUITE 400
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City | LAFAYETTE
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State | LA
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Zip | 70503-2638
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Country | US
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Telephone | 337-235-9779
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Fax | 337-235-0654
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Authorized Official
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Title or Position | DERMATOLOGIST
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Name | DR. STELLA B NOEL
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Credential | M.D.
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Telephone | 337-235-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 017731
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License Number State | LA
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