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General NPI Number Information
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NPI Number | 1083598361
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Entity Type | Individual
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Provider Name | CAITLYN LASCALA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 731 BIELENBERG DR STE 102-104
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City | WOODBURY
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State | MN
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Zip | 55125-1700
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Country | US
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Telephone | 612-439-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 2247 74TH ST
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City | SOMERSET
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State | WI
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Zip | 54025-7451
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Country | US
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Telephone | 651-357-2055
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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