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General NPI Number Information
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NPI Number | 1154406577
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Entity Type | Individual
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Provider Name | ALYN ROBINSON CAULK MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7901 STATE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19136-3407
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Country | US
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Telephone | 215-685-7741
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Fax | 215-685-7739
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Provider Business Mailing Address
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Address Line | 12 EVERGREEN LN
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City | HADDONFIELD
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State | NJ
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Zip | 08033-1202
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Country | US
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Telephone | 856-429-7125
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Fax | 215-685-7739
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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 | 25MA053382
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License Number State | NJ
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