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General NPI Number Information
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NPI Number | 1013681600
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Entity Type | Individual
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Provider Name | CAITLIN ELAINE KRATZ PT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 5435 BEAVERKILL RD
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City | COLUMBIA
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State | MD
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Zip | 21044-2359
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Country | US
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Telephone | 410-740-0883
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Fax | 410-740-9970
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Provider Business Mailing Address
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Address Line | 2415 POWDERHORN WAY STE 305
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City | GAMBRILLS
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State | MD
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Zip | 21054-1671
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28577
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License Number State | MD
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