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General NPI Number Information
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NPI Number | 1114836178
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Entity Type | Individual
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Provider Name | JASON LESTER CAAR
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Gender | Male
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 3029 WHEATON WAY
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City | BREMERTON
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State | WA
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Zip | 98310-3435
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Country | US
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Telephone | 360-228-8798
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Fax |
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Provider Business Mailing Address
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Address Line | 108 ACORN ST
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City | BREMERTON
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State | WA
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Zip | 98310-2008
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Country | US
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Telephone | 360-228-8798
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CAAR.CG.700016477
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License Number State | WA
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