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General NPI Number Information
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NPI Number | 1710271556
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Entity Type | Individual
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Provider Name | ELIZABETH ERSKINE CAUDILLO PA
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 111 E SPRING AVE
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City | CONWAY SPRINGS
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State | KS
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Zip | 67031-3101
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Country | US
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Telephone | 620-456-2411
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Fax | 620-456-2495
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Provider Business Mailing Address
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Address Line | 485 N KS HWY 2
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City | ANTHONY
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State | KS
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Zip | 67003-2526
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Country | US
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Telephone | 620-914-1200
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Fax | 620-914-1257
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1501443
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1931
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License Number State | OK
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