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General NPI Number Information
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NPI Number | 1235566738
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Entity Type | Individual
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Provider Name | CAITLIN FRANCES MYERS
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Gender | Female
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 525 E 68TH ST ROOM M710
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-746-3058
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Fax | 212-746-8490
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Provider Business Mailing Address
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Address Line | 43 LEDGEWOOD DR
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City | NORWALK
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State | CT
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Zip | 06850-1825
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3090
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 017048
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License Number State | NY
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