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General NPI Number Information
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NPI Number | 1427521756
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Entity Type | Individual
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Provider Name | DARLENE CAULDER APRN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3925 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3507
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Country | US
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Telephone | 844-797-8425
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Fax |
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Provider Business Mailing Address
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Address Line | 4354 S LECANTO HWY
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City | LECANTO
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State | FL
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Zip | 34461-9032
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Country | US
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Telephone | 478-972-7021
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 249017
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License Number State | GA
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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 | APRN11023567
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11023567
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License Number State | FL
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