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General NPI Number Information
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NPI Number | 1447307459
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA NEUROSURGERY LLC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 6510 NW 9TH BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32605-4274
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Country | US
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Telephone | 352-331-0811
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Fax | 352-332-6387
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Provider Business Mailing Address
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Address Line | PO BOX 198799
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City | ATLANTA
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State | GA
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Zip | 30384-8799
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Country | US
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Telephone | 352-331-0811
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Fax | 352-332-6387
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Authorized Official
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Title or Position | SURGEON
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Name | DR. JOSEPH CLAUD CAUTHEN III
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Credential | M.D.
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Telephone | 352-331-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0012242
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License Number State | FL
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