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General NPI Number Information
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NPI Number | 1881464576
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Entity Type | Individual
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Provider Name | FRANCESCA ELISE COURY PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 355 RIDGE AVE
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City | EVANSTON
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State | IL
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Zip | 60202-3328
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Country | US
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Telephone | 877-338-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 4319 GREENVIEW CIR
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City | FORT GRATIOT
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State | MI
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Zip | 48059-3929
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Country | US
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Telephone | 810-488-0920
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004688A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085010241
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License Number State | IL
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