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General NPI Number Information
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NPI Number | 1215905997
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Entity Type | Individual
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Provider Name | JOSEPH DUANE CAUDILL PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 200 MEMORIAL AVE CARROLL HOSPITAL CENTER
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City | WESTMINSTER
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State | MD
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Zip | 21157-5726
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Country | US
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Telephone | 410-871-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 3107 CAPE HILL CT
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City | HAMPSTEAD
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State | MD
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Zip | 21074-1152
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Country | US
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Telephone | 443-291-6075
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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 | MA052023
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0002419
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License Number State | MD
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