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General NPI Number Information
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NPI Number | 1811639073
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Entity Type | Individual
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Provider Name | CARRIE MICHELLE NOBLE RN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 918 27TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-4302
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Country | US
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Telephone | 530-301-8118
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160783
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City | SACRAMENTO
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State | CA
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Zip | 95816-0783
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Country | US
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Telephone | 530-301-8118
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 774986
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 774986
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 774986
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License Number State | CA
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