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General NPI Number Information
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NPI Number | 1902796832
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Entity Type | Organization
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Legal Business Name | NOBLE OAKS LLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5105 CREIGHTON DR
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City | DALLAS
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State | TX
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Zip | 75214-2127
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Country | US
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Telephone | 404-906-7345
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Fax | 469-772-9204
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Provider Business Mailing Address
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Address Line | 338 BROADMOOR DR
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City | ROCKWALL
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State | TX
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Zip | 75032-1923
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Country | US
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Telephone | 704-277-3112
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Fax | 469-772-9204
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Authorized Official
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Title or Position | PARTNER
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Name | MS. MARIE AKESHA DAVIS
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Credential |
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Telephone | 170-427-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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