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General NPI Number Information
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NPI Number | 1225711484
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Entity Type | Individual
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Provider Name | CAITLYNN JOY ESTEVEZ-AVERHART OD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 147 SYCAMORE ST
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City | PIKEVILLE
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State | KY
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Zip | 41501-9118
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Country | US
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Telephone | 606-262-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 7 VALHALLA AVE
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City | JENKINS
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State | KY
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Zip | 41537-9244
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Country | US
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Telephone | 606-821-7489
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-F18-TA-D08
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2373DT
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License Number State | KY
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