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General NPI Number Information
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NPI Number | 1891747507
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Entity Type | Individual
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Provider Name | RICHARD J NOEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-4100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 63362
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City | CHARLOTTE
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State | NC
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Zip | 28263-3362
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Country | US
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Telephone | 919-684-8111
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V7599
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 46663
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 9900967
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | V7599
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License Number State | TX
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