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General NPI Number Information
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NPI Number | 1902969918
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Entity Type | Individual
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Provider Name | CAROL A CAICO PHD NP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 165 FROEHLICH FARM BLVD
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City | WOODBURY
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State | NY
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Zip | 11797-2906
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Country | US
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Telephone | 516-364-7405
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Fax | 516-364-7410
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Provider Business Mailing Address
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Address Line | 3570 WYANET ST
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City | SEAFORD
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State | NY
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Zip | 11783-3010
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Country | US
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Telephone | 516-826-0725
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | F360277
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License Number State | NY
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