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General NPI Number Information
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NPI Number | 1982958062
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Entity Type | Individual
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Provider Name | FRANCIS KWAI FIRESTONE PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 125 W COPELAND DR
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 321-841-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 125 W COPELAND DR
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City | ORLANDO
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State | FL
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Zip | 32806-2101
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Country | US
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Telephone | 321-841-7090
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Fax | 321-843-2267
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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 | PA9106862
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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