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General NPI Number Information
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NPI Number | 1124009972
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Entity Type | Individual
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Provider Name | MARION LAWRENCE CALDWELL AU.D
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Gender | Female
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 3940 S DANVILLE BYP
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City | DANVILLE
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State | KY
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Zip | 40422-2529
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Country | US
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Telephone | 859-236-3865
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Fax | 859-236-1690
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Provider Business Mailing Address
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Address Line | 3940 S DANVILLE BYP
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City | DANVILLE
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State | KY
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Zip | 40422-2529
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Country | US
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Telephone | 859-236-3865
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Fax | 859-236-1690
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | KY0106
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License Number State | KY
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