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General NPI Number Information
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NPI Number | 1376027441
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Entity Type | Individual
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Provider Name | ALLISON CAGGIANO AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 1703 COUNTRY CLUB RD STE 103
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6006
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Country | US
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Telephone | 910-333-0283
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Fax | 910-333-0513
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Provider Business Mailing Address
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Address Line | 1703 COUNTRY CLUB RD STE 103
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6006
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Country | US
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Telephone | 910-333-0283
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Fax | 910-333-0513
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5010985
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5010985
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5010985
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License Number State | NC
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