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NPI Code Detail

MEDICARE: NOAH JAMES GRAHAM

MEDICARE: NOAH JAMES GRAHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.475671OH

General Provider Information

NPI Number : 1255280020
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH JAMES GRAHAM
Provider Business Mailing Address
First Line : 3723 SPRINTER LN APT 316
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2375
Country : US
Telephone Number : 567-249-2845
Fax Number :
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-544-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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