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General NPI Number Information
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NPI Number | 1255725842
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Entity Type | Individual
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Provider Name | CAITLIN ELIZABETH DALE PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 622 H ST
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City | EUREKA
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State | CA
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Zip | 95501-1026
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Country | US
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Telephone | 707-443-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 312 N ALMA SCHOOL RD STE 11
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City | CHANDLER
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State | AZ
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Zip | 85224-4354
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Country | US
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Telephone | 623-300-5477
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Fax | 800-725-1576
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2014034082
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8142
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA65842
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License Number State | CA
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