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General NPI Number Information
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NPI Number | 1124587969
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Entity Type | Individual
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Provider Name | CAITLYN ELIKH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 1009 HIGHWAY 2 STE C
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City | SANDPOINT
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State | ID
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Zip | 83864-2713
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Country | US
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Telephone | 208-627-8615
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Fax | 208-441-2641
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Provider Business Mailing Address
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Address Line | 725 S GROVE RD
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City | SPOKANE
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State | WA
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Zip | 99224-9031
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Country | US
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Telephone | 541-784-7336
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-2765
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License Number State | ID
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