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NPI Code Detail

MEDICARE: HUGH NOBLE

MEDICARE: HUGH NOBLE
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
11041C0700XClinical Social WorkerLCSW91974CA

General Provider Information

NPI Number : 1811394059
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUGH NOBLE
Provider Business Mailing Address
First Line : PO BOX 421141
Second Line :
City : SAN DIEGO
State : CA
Zip : 92142-1141
Country : US
Telephone Number : 619-276-8112
Fax Number :
Provider Business Practice Location Address
First Line : 1202 MORENA BLVD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3842
Country : US
Telephone Number : 619-275-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2014
Last Update Date : 03/20/2024

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Directions to “ HUGH NOBLE ” Practice Location

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