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General NPI Number Information
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NPI Number | 1316172083
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Entity Type | Individual
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Provider Name | NICOLE TIQUANA CALDWELL C.N.A./P.C.T./M.H.T.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2009
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1200 NW 5TH AVE # 1
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City | FT LAUDERDALE
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State | FL
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Zip | 33311-6027
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Country | US
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Telephone | 954-708-4646
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Fax | 754-206-2147
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Provider Business Mailing Address
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Address Line | PO BOX 100736
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City | FT LAUDERDALE
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State | FL
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Zip | 33310-0736
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Country | US
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Telephone | 954-708-4646
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Fax | 754-206-2147
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | C.N.A 127560
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License Number State | FL
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