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General NPI Number Information
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NPI Number | 1356980312
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Entity Type | Individual
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Provider Name | ANGELA KAY CALDWELL PHARM D
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Gender | Female
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Dates
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Enumeration Date | 12/22/2019
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Last Update Date | 12/22/2019
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Provider Practice Location Address
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Address Line | 8824 GEYER SPRINGS RD
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City | LITTLE ROCK
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State | AR
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Zip | 72209-4765
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Country | US
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Telephone | 501-565-7584
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Fax | 501-565-5094
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Provider Business Mailing Address
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Address Line | 2917 CYPRESS POINT DR
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City | BENTON
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State | AR
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Zip | 72019-6985
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Country | US
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Telephone | 501-538-6044
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Fax | 501-565-5094
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD08500
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License Number State | AR
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