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General NPI Number Information
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NPI Number | 1598862120
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Entity Type | Individual
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Provider Name | JASON W CALDWELL CRNA
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 2990 GOTTBRATH PKWY
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-8901
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Country | US
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Telephone | 812-671-0990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 713350
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City | CHICAGO
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State | IL
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Zip | 60677-1392
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4381A
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28172150A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3004381
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License Number State | KY
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