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General NPI Number Information
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NPI Number | 1841636917
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Entity Type | Individual
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Provider Name | THOMAS CAUDILL GITHENS D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 725 WELCH RD
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 4TH ST MS 9436
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 806-743-2465
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Fax | 806-743-1155
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | BP10046473
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A16204
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License Number State | CA
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