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General NPI Number Information
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NPI Number | 1043500978
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Entity Type | Organization
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Legal Business Name | TERRA C. CAUDILL, MD, MS, PLLC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 24 2ND AVE NE STE 201
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City | HICKORY
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State | NC
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Zip | 28601-5045
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Country | US
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Telephone | 828-324-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 24 2ND AVE NE STE 201
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City | HICKORY
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State | NC
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Zip | 28601-5045
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Country | US
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Telephone | 828-324-9900
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | TERRA CAUDILL
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Credential | M.D.
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Telephone | 828-208-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2010-00973
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License Number State | NC
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