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General NPI Number Information
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NPI Number | 1710600663
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Entity Type | Individual
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Provider Name | MICHELE ROSELLE LI CAUSI RD, ARNP, FNP-C, CDE
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 2720 S 6TH AVE
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City | TUCSON
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State | AZ
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Zip | 85713-4701
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Country | US
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Telephone | 520-475-5418
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Fax | 520-300-8034
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-495-4490
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Fax | 239-495-4491
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND5698
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 324009
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN9529931
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11022008
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License Number State | FL
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