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General NPI Number Information
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NPI Number | 1720311293
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Entity Type | Individual
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Provider Name | JOSEPH DAVID CARUSO MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 181 FRANKLIN HEALTH COMMONS
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City | FARMINGTON
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State | ME
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Zip | 04938
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Country | US
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Telephone | 207-778-6579
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Fax |
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Provider Business Mailing Address
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Address Line | EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIR B7500
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City | FT. CARSON
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State | CO
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Zip | 80913
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Country | US
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Telephone | 814-594-6298
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101249661
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD23721
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License Number State | ME
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