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General NPI Number Information
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NPI Number | 1598242133
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT FOUCHE-CAMARGO DNP, APRN
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Gender | Male
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 113 BUCKLEY AVE
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City | BRISTOL
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State | CT
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Zip | 06010-6703
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Country | US
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Telephone | 678-863-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 113 BUCKLEY AVE
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City | BRISTOL
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State | CT
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Zip | 06010-6703
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 12.011343
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN-NP116957
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License Number State | GA
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