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General NPI Number Information
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NPI Number | 1871433821
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Entity Type | Individual
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Provider Name | NOEL JOSEPH RAEHL
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Gender | Male
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 10190 BALTIMORE ST NE
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City | BLAINE
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State | MN
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Zip | 55449-6045
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Country | US
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Telephone | 773-691-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 1576 SARGENT AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-2333
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Country | US
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Telephone | 773-691-5807
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 1036284
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License Number State | MN
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