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General NPI Number Information
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NPI Number | 1932845609
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Entity Type | Individual
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Provider Name | DAMASO ALBERTO MARESMA
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Gender | Male
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 2500 DEL PRADO BLVD S
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City | CAPE CORAL
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State | FL
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Zip | 33904
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Country | US
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Telephone | 239-772-1194
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Fax | 786-396-1466
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Provider Business Mailing Address
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Address Line | 17167 3 OAKS PKWY UNIT 1237
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City | FORT MYERS
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State | FL
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Zip | 33967-5374
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Country | US
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Telephone | 239-810-8862
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11019341
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License Number State | FL
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