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General NPI Number Information
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NPI Number | 1689835233
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Entity Type | Organization
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Legal Business Name | PATRICE C CASE M D PA
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 700 2ND AVE N SUITE 201
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City | NAPLES
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State | FL
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Zip | 34102-5756
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Country | US
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Telephone | 239-263-6666
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Fax | 239-263-6163
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Provider Business Mailing Address
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Address Line | 700 2ND AVE N SUITE 201
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City | NAPLES
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State | FL
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Zip | 34102-5756
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Country | US
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Telephone | 239-263-6666
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Fax | 239-263-6163
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICE C CASE
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Credential | M.D.
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Telephone | 239-263-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME39722
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License Number State | FL
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