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NPI 1104083757

NPI 1104083757 : DR. PAUL HAYDEN CAUDILL : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1104083757
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    Entity Type          |    Individual 
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    Provider Name        |    DR. PAUL HAYDEN CAUDILL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/21/2008
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    Last Update Date     |    08/27/2013
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Provider Practice Location Address
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    Address Line         |    4220 HARDING PIKE EMERGENCY MEDICAL CONSULTANTS OF NASHVILLE
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37205-2005
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    Country              |    US
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    Telephone            |    615-222-6733
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    Fax                  |    931-647-5034
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3490 EMERGENCY MEDICAL CONSULTANTS OF NASHVILLE
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    City                 |    CLARKSVILLE
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    State                |    TN
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    Zip                  |    37043-3490
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    Country              |    US
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    Telephone            |    931-647-5034
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    Fax                  |    931-552-6663
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    49702
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    2010-01559
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    License Number State |    NC
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