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General NPI Number Information
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NPI Number | 1245612399
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Entity Type | Individual
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Provider Name | LORA MCCAULEY DO
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Gender | Female
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 7347 BELL CREEK RD STE 100
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3504
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Country | US
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Telephone | 804-730-4690
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Fax | 804-559-0333
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Provider Business Mailing Address
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Address Line | PO BOX 639970
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City | CINCINNATI
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State | OH
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Zip | 45263-9970
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0102205701
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License Number State | VA
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