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General NPI Number Information
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NPI Number | 1306133699
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Entity Type | Individual
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Provider Name | NICHOLAS MANES CAGGIANO MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 862 MEINECKE AVE STE 100
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405
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Country | US
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Telephone | 805-541-4600
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Fax | 805-541-3566
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Provider Business Mailing Address
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Address Line | 862 MEINECKE AVE STE 100
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-3701
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Country | US
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Telephone | 805-541-4600
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Fax | 805-541-3566
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | A148140
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License Number State | CA
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