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General NPI Number Information
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NPI Number | 1962618264
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Entity Type | Organization
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Legal Business Name | NOEL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 9695 SOUTH YOSEMITE STREET SUITE 356
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City | LONE TREE
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State | CO
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Zip | 80124-3191
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Country | US
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Telephone | 303-346-5524
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Fax | 303-346-5529
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Provider Business Mailing Address
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Address Line | PO BOX 631368
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City | LITTLETON
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State | CO
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Zip | 80163-1368
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Country | US
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Telephone | 303-346-5524
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Fax | 303-346-5529
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PATRICK J NOEL
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Credential | D.C.
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Telephone | 303-346-5524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 4533
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License Number State | CO
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