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General NPI Number Information
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NPI Number | 1205584356
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Entity Type | Individual
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Provider Name | MRS. CAITLIN ELIZA LANGTON
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Gender | Female
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 5781 HOWARD RD
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City | PETOSKEY
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State | MI
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Zip | 49770-8870
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Country | US
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Telephone | 586-215-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 322 BAY ST STE 4
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City | PETOSKEY
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State | MI
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Zip | 49770-2489
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Country | US
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Telephone | 231-268-0007
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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