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General NPI Number Information
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NPI Number | 1013494798
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Entity Type | Individual
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Provider Name | LUCIANA V KREMSER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1210 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7205
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Country | US
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Telephone | 561-263-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 4795 SE MANATEE TER
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City | STUART
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State | FL
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Zip | 34997-6996
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Country | US
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Telephone | 561-317-9823
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111392
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License Number State | FL
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