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General NPI Number Information
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NPI Number | 1164822243
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Entity Type | Individual
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Provider Name | CAITLIN TRUHE A.C.T., L.A.T
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Gender | Female
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 6001 W 159TH ST
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City | STILWELL
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State | KS
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Zip | 66085-8808
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Country | US
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Telephone | 913-239-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 11130 DELAWARE PKWY APT 5408
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City | KANSAS CITY
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State | KS
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Zip | 66109-3674
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Country | US
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Telephone | 913-239-4898
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 24-00842
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License Number State | KS
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