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General NPI Number Information
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NPI Number | 1629182332
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Entity Type | Individual
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Provider Name | RICHARD K CALDWELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 417B S 4TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-5214
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Country | US
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Telephone | 256-543-9302
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Fax | 256-547-6869
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Provider Business Mailing Address
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Address Line | PO BOX 1569
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City | GADSDEN
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State | AL
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Zip | 35902-1569
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Country | US
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Telephone | 256-543-9302
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Fax | 256-547-4539
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 19865
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License Number State | AL
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