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General NPI Number Information
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NPI Number | 1518684513
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Entity Type | Individual
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Provider Name | DIEUVEUT MICHEL PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1495 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6073
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Country | US
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Telephone | 786-567-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 2476 TIMBER FOREST DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3625
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Country | US
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Telephone | 575-605-8353
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9574670
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 22662
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9651
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 049629
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1242
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11037400
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License Number State | FL
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