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Individual

DAWN HILTON LUPICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0002620
MD
363AS0400X
Surgical Physician Assistant
Primary
C0002620
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3005FLORIBUN
MD
Enumeration date
12/14/2012
Last updated
12/14/2012
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