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General NPI Number Information
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NPI Number | 1922013457
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Entity Type | Organization
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Legal Business Name | CALDWELL MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 906 COLLEGE AVE SW SUITE C
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City | LENOIR
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State | NC
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Zip | 28645-5428
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Country | US
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Telephone | 828-757-5509
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Fax | 828-757-5538
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Provider Business Mailing Address
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Address Line | 321 MULBERRY ST SW MEDICAL STAFF SERVICES
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City | LENOIR
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State | NC
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Zip | 28645-5720
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Country | US
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Telephone | 828-757-5965
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Fax | 828-757-5104
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Authorized Official
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Title or Position | CFO
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Name | KAREN SHADOWENS
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Credential |
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Telephone | 336-627-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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