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General NPI Number Information
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NPI Number | 1063423036
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Entity Type | Individual
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Provider Name | KAROLINE CASEY DEMPSEY PAC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 12469 EMERALD COAST PKWY W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550
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Country | US
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Telephone | 850-654-3376
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Fax | 850-654-3320
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Provider Business Mailing Address
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Address Line | 12469 EMERALD COAST PKWY W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-8305
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Country | US
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Telephone | 850-654-3376
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Fax | 850-654-3320
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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 | PA9104546
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License Number State | FL
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