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General NPI Number Information
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NPI Number | 1942604012
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Entity Type | Individual
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Provider Name | BEVERLY CALDWELL NP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 730 MCCULLOCH ST
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City | GLASGOW
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State | VA
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Zip | 24555-2710
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Country | US
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Telephone | 540-238-1700
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Fax | 540-238-1800
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0388
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Country | US
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Telephone | 540-932-5162
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Fax | 540-932-5875
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001196331
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024172254
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License Number State | VA
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