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General NPI Number Information
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NPI Number | 1871598961
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Entity Type | Individual
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Provider Name | GAYLA SUE CAULDWELL ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1604 SPRING HILL RD STE 450
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City | VIENNA
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State | VA
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Zip | 22182-7509
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Country | US
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Telephone | 703-270-4300
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Fax | 703-270-4350
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Provider Business Mailing Address
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Address Line | 3251 OLD LEE HWY STE 200
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City | FAIRFAX
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State | VA
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Zip | 22030-1504
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Country | US
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Telephone | 778-684-8278
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 0001171562
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024164471
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License Number State | VA
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