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Individual
TARA JEAN CAUDILL
Active
Individual
TARA JEAN CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9280286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876700
—
FL
01
—
1942249271
GROUP NPI BAYFRONT ANESTHESIA SERVICE PA
FL
01
—
G4781
BCBS OF FL
FL
01
—
P00887198
RR MCR ATTACHED TO GRP# CF4811
FL
Enumeration date
02/04/2009
Last updated
03/08/2011
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