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Individual
JOHN PASCHAL LICATA
Active
Individual
JOHN PASCHAL LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-00623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD47191
MEDICAL LICENSE
AL
Enumeration date
03/27/2017
Last updated
02/11/2026
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