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NPI 1225590185

NPI 1225590185 : HONGJING CAO : GAINESVILLE, FL

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General NPI Number Information
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    NPI Number           |    1225590185
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    Entity Type          |    Individual 
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    Provider Name        |    HONGJING CAO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2019
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    1600 SW ARCHER RD 
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32610-3003
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    Country              |    US
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    Telephone            |    352-392-0140
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    280 INTERSTATE NORTH CIR SE STE 600 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-2454
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    Country              |    US
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    Telephone            |    800-369-4603
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    ME177457
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    MD210002453
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    License Number State |    DC
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Taxonomy #3
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    13215320
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    ME177457
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    0101285056
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    License Number State |    VA
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