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General NPI Number Information
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NPI Number | 1699589630
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH CALDWELL
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3633 HARDEN RD STE 100
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City | RALEIGH
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State | NC
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Zip | 27607-3369
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Country | US
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Telephone | 919-954-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 JESSICA BLVD UNIT 117
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City | RALEIGH
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State | NC
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Zip | 27607-4279
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Country | US
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Telephone | 336-430-3763
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10250290
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License Number State | NC
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