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General NPI Number Information
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NPI Number | 1881818409
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Entity Type | Individual
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Provider Name | NELLIE DAS CAULEY ANP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 433 COPPERFIELD BLVD NE
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City | CONCORD
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State | NC
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Zip | 28025-2405
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Country | US
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Telephone | 704-786-7770
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Fax | 704-788-9351
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Provider Business Mailing Address
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Address Line | 3158 FREEDOM DR STE 3102
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City | CHARLOTTE
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State | NC
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Zip | 28208-0014
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Country | US
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Telephone | 704-332-0396
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Fax | 704-971-0035
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5005932
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License Number State | NC
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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 | CNP201512
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5005932
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License Number State | NC
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