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NPI 1841489317

NPI 1841489317 : JODY ELIZABETH NOE MS ND : NORTH STONINGTON, CT

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General NPI Number Information
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    NPI Number           |    1841489317
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    Entity Type          |    Individual 
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    Provider Name        |    JODY ELIZABETH NOE MS ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/19/2007
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    Last Update Date     |    01/30/2025
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Provider Practice Location Address
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    Address Line         |    82 NORWICH WESTERLY RD BLDG G 
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    City                 |    NORTH STONINGTON
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    State                |    CT
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    Zip                  |    06359-1744
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    Country              |    US
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    Telephone            |    860-495-5688
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    Fax                  |    860-495-5687
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Provider Business Mailing Address
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    Address Line         |    82 NORWICH WESTERLY RD BLDG G 
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    City                 |    NORTH STONINGTON
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    State                |    CT
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    Zip                  |    06359-1744
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    Country              |    US
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    Telephone            |    860-495-5688
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    Fax                  |    860-495-5687
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    0990000022
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    License Number State |    VT
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    000411
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    License Number State |    CT
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