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General NPI Number Information
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NPI Number | 1124793021
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Entity Type | Individual
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Provider Name | JOSHUA A CALDWELL DNP, APRN
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Gender | Male
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 425 CENTRE VIEW BLVD
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3409
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Country | US
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Telephone | 859-341-3575
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Fax | 859-341-5702
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Provider Business Mailing Address
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Address Line | PO BOX 32160
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City | LOUISVILLE
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State | KY
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Zip | 40232-2160
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Country | US
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Telephone | 859-341-3575
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Fax | 859-341-5702
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3016478
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License Number State | KY
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