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General NPI Number Information
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NPI Number | 1235511676
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Entity Type | Individual
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Provider Name | CAITLIN GOODWIN CNM
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 2717 POINSETTIA AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5503
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Country | US
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Telephone | 440-336-6562
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 6TH CT S
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City | LAKE WORTH
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State | FL
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Zip | 33461-5609
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 17477NM
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN9466987
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License Number State | FL
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