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NPI Code Detail

MEDICARE: DR. RUTH FRANCINE CAUTHEN D.D.S

MEDICARE: DR. RUTH FRANCINE CAUTHEN D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7333VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2279570OTHERVABCBS

General Provider Information

NPI Number : 1164600516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTH FRANCINE CAUTHEN D.D.S
Provider Business Mailing Address
First Line : PO BOX 447
Second Line :
City : NORFOLK
State : VA
Zip : 23501-0447
Country : US
Telephone Number : 757-626-0633
Fax Number : 757-626-0003
Provider Business Practice Location Address
First Line : 2200 COLONIAL AVE STE 12
Second Line :
City : NORFOLK
State : VA
Zip : 23517-1919
Country : US
Telephone Number : 757-626-0633
Fax Number : 757-626-0003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 02/07/2008

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