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General NPI Number Information
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NPI Number | 1730020934
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Entity Type | Individual
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Provider Name | PATRICIA CAUCCI CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 522 2ND AVE
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City | BELLMAWR
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State | NJ
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Zip | 08031-1413
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Country | US
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Telephone | 267-559-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 522 2ND AVE
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City | BELLMAWR
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State | NJ
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Zip | 08031-1413
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Country | US
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Telephone | 267-559-4782
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 26NJ15516500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | SP033358
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License Number State | PA
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