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General NPI Number Information
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NPI Number | 1265319032
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Entity Type | Individual
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Provider Name | CAITLYN FRANCES SAMBON MARANON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 184 RIVERVALE RD
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City | RIVER VALE
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State | NJ
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Zip | 07675-6270
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Country | US
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Telephone | 201-270-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 182 CHARLTON AVE
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City | LODI
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State | NJ
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Zip | 07644-3506
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02357900
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License Number State | NJ
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