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General NPI Number Information
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NPI Number | 1902519242
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Entity Type | Individual
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Provider Name | NOAH SOBLE L.AC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 507 MAIN ST
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City | FRISCO
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State | CO
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Zip | 80443-5486
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Country | US
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Telephone | 970-486-3152
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Fax |
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Provider Business Mailing Address
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Address Line | 317 MOUNT SHERMAN DR
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City | LEADVILLE
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State | CO
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Zip | 80461-3460
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Country | US
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Telephone | 248-318-8174
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002827
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License Number State | CO
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