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General NPI Number Information
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NPI Number | 1487725958
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Entity Type | Individual
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Provider Name | MARY JANNICE CAFFEE CFNP, N.D.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MEIJER 2507 CHESTER ROAD
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City | RICHMOND
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State | IN
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Zip | 47374
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Country | US
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Telephone | 765-939-4400
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 11479 3-6C BONNE ESPERANCE
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City | ST. THOMAS
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State | VI
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Zip | 00801
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Country | US
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Telephone | 340-774-0315
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Fax | 340-776-7424
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6173
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License Number State | VI
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