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General NPI Number Information
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NPI Number | 1205681426
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Entity Type | Individual
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Provider Name | CAITLIN HELEN CONRAD LSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 503 N 21ST ST
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City | CAMP HILL
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State | PA
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Zip | 17011-2288
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Country | US
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Telephone | 717-763-2100
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Fax | 717-972-4161
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Provider Business Mailing Address
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Address Line | 5475 BULL RD
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City | DOVER
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State | PA
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Zip | 17315-1735
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Country | US
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Telephone | 717-858-3724
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW140535
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License Number State | PA
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