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General NPI Number Information
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NPI Number | 1275155459
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Entity Type | Individual
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Provider Name | CAILEY ANNE MILTON ACSW
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Gender | Female
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 24028 LAKE DRIVE
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City | CRESTLINE
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State | CA
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Zip | 92325
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Country | US
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Telephone | 909-338-3222
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Fax | 909-338-3221
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Provider Business Mailing Address
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Address Line | PO BOX 4644
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City | BLUE JAY
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State | CA
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Zip | 92317-4644
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Country | US
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Telephone | 909-338-3222
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW129997
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License Number State | CA
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