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General NPI Number Information
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NPI Number | 1750600300
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Entity Type | Individual
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Provider Name | JESSICA LAURA CAUCHON NNP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 12/22/2024
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Provider Practice Location Address
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Address Line | 282 WASHINGTON ST
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City | HARTFORD
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State | CT
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Zip | 06106-3322
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Country | US
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Telephone | 860-545-8950
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Fax | 860-545-8959
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Provider Business Mailing Address
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Address Line | PO BOX 3001 D56 NEWBORN HEALTH ASSOCIATES
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 26NJ00289000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 12.5003
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License Number State | CT
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