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NPI 1932293412

NPI 1932293412 : JOSEPH H NOBLE D.D.S. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1932293412
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH H NOBLE D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    10/24/2011
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Provider Practice Location Address
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    Address Line         |    6609 BLANCO RD., SUITE 105 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78216-6131
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    Country              |    US
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    Telephone            |    210-342-1001
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    Fax                  |    210-342-1012
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Provider Business Mailing Address
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    Address Line         |    6609 BLANCO RD., SUITE 105 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78216-6131
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    Country              |    US
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    Telephone            |    210-342-1001
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    Fax                  |    210-342-1012
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    18643
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    License Number State |    TX
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