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General NPI Number Information
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NPI Number | 1154362523
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Entity Type | Individual
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Provider Name | MARIE JUDITH CAUVIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 38 HOSPITAL RD STE A
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City | NEWNAN
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State | GA
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Zip | 30263-1277
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Country | US
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Telephone | 770-251-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102321
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City | ATLANTA
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State | GA
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Zip | 30368-2321
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Country | US
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Telephone | 770-801-2526
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 70158
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 059135
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License Number State | GA
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