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General NPI Number Information
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NPI Number | 1861376774
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Entity Type | Organization
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Legal Business Name | NOBLE HEALTH INSIGHT LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 13889 WELLINGTON TRCE STE A1
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City | WELLINGTON
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State | FL
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Zip | 33414-8587
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Country | US
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Telephone | 561-677-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 11737 ANHINGA DR
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City | WELLINGTON
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State | FL
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Zip | 33414-5807
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Country | US
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Telephone | 352-215-1501
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL FONSECA
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Credential |
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Telephone | 352-215-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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