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General NPI Number Information
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NPI Number | 1124692280
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Entity Type | Individual
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Provider Name | CASSIDY L CAITO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 3107 W CAMP WISDOM RD STE 131
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City | DALLAS
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State | TX
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Zip | 75237-2600
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Country | US
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Telephone | 214-339-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 3107 W CAMP WISDOM RD STE 131
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City | DALLAS
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State | TX
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Zip | 75237-2600
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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 | PT019148
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP025025T
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License Number State | TX
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