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NPI Code Detail

MEDICARE: MRS. MEREDITH NOEL CAUDILL M.S.CCC-SLP

MEDICARE: MRS. MEREDITH NOEL CAUDILL M.S.CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA8714FL

General Provider Information

NPI Number : 1982810800
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEREDITH NOEL CAUDILL M.S.CCC-SLP
Provider Business Mailing Address
First Line : 1000 DAKAR DR
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-3217
Country : US
Telephone Number : 321-745-2297
Fax Number : 321-269-7699
Provider Business Practice Location Address
First Line : 5650 S WASHINGTON AVE
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-7312
Country : US
Telephone Number : 331-264-9331
Fax Number : 321-269-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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