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General NPI Number Information
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NPI Number | 1114488772
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Entity Type | Individual
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Provider Name | JENNIFER CAUGHEY
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1004 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-6901
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Country | US
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Telephone | 302-674-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 21006 WAVECREST TER
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City | LEWES
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State | DE
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Zip | 19958-1908
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Country | US
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Telephone | 152-688-3422
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | G1-0011626
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License Number State | DE
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