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NPI 1649660424

NPI 1649660424 : CAM TU FRANCESCONE PA : PORT ST LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1649660424
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    Entity Type          |    Individual 
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    Provider Name        |    CAM TU FRANCESCONE PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2015
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    10080 SW INNOVATION WAY 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34987-2127
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    Country              |    US
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    Telephone            |    772-344-3811
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10080 SW INNOVATION WAY 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34987-2127
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    Country              |    US
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    Telephone            |    772-344-3811
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA5272
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    License Number State |    MA
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