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General NPI Number Information
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NPI Number | 1619663614
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Entity Type | Individual
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Provider Name | COLLEEN MARIE CAULFIELD MS, RD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 501 W 14TH ST FL 4
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-623-3475
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Fax | 302-325-5889
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Provider Business Mailing Address
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Address Line | 222 PHILADELPHIA PIKE STE 13-15
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City | WILMINGTON
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State | DE
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Zip | 19809-3166
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Country | US
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Telephone | 302-407-5316
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Fax | 302-407-5307
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN008017
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN-0011081
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License Number State | DE
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