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General NPI Number Information
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NPI Number | 1467718007
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Entity Type | Individual
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Provider Name | JOAN HELEN MCCAULIE D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 11513 N MAIN ST
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City | JACKSONVILLE
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State | FL
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Zip | 32218-4002
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Country | US
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Telephone | 904-751-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS019652
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.013565
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018-02013
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A13460
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S0941
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS16429
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License Number State | FL
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