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General NPI Number Information
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NPI Number | 1497244396
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Entity Type | Individual
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Provider Name | MRS. JULIE SCIMECA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 2435 SE DIXIE HWY
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City | STUART
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State | FL
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Zip | 34996-4004
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Country | US
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Telephone | 772-349-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 550 NW SHARPE ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-1014
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Country | US
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Telephone | 772-349-4006
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | 56-44-1432703
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License Number State | FL
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