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General NPI Number Information
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NPI Number | 1891650073
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Entity Type | Organization
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Legal Business Name | NOBLECARE MED, PLLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 5844 WATERS EDGE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1062
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Country | US
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Telephone | 336-701-0313
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Fax |
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Provider Business Mailing Address
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Address Line | 5844 WATERS EDGE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1062
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE MARTINEZ
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Credential | PA-C
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Telephone | 336-701-0313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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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 | 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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