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General NPI Number Information
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NPI Number | 1184682403
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Entity Type | Individual
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Provider Name | APRIL DAYLENE CALDWELL PAC
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 218 E CHEYENNE MOUNTAIN BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3720
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Country | US
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Telephone | 719-465-1579
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Fax | 719-280-6111
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Provider Business Mailing Address
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Address Line | 5384 CUTGRASS LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-3621
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1730
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0001730
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License Number State | CO
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