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General NPI Number Information
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NPI Number | 1972071413
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Entity Type | Individual
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Provider Name | NOELLE HAM DACM
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 201 8TH ST S STE 307
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City | NAPLES
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State | FL
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Zip | 34102-6117
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Country | US
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Telephone | 239-719-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 2698 KINGS LAKE BLVD
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City | NAPLES
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State | FL
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Zip | 34112-5492
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Country | US
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Telephone | 239-719-0550
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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 | AP3801
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License Number State | FL
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