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NPI Code Detail

MEDICARE: DELORES THERESA CAULTON

MEDICARE: DELORES THERESA CAULTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN.192720OH

General Provider Information

NPI Number : 1780524181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES THERESA CAULTON
Provider Business Mailing Address
First Line : 1301 VINE ST APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 830 EZZARD CHARLES DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-2525
Country : US
Telephone Number : 513-381-6672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 04/21/2026

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Directions to “ DELORES THERESA CAULTON ” Practice Location

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