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NPI 1285910471

NPI 1285910471 : CAITLIN ANN GOING PA : FISHERSVILLE, VA

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General NPI Number Information
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    NPI Number           |    1285910471
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    Entity Type          |    Individual 
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    Provider Name        |    CAITLIN ANN GOING PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2011
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    78 MEDICAL CENTER DR 
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    City                 |    FISHERSVILLE
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    State                |    VA
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    Zip                  |    22939-2332
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    Country              |    US
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    Telephone            |    540-245-7080
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    Fax                  |    540-245-7081
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Provider Business Mailing Address
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    Address Line         |    PO BOX 388 
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    City                 |    FISHERSVILLE
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    State                |    VA
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    Zip                  |    22939-0388
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    Country              |    US
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    Telephone            |    540-332-5168
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    Fax                  |    540-332-5875
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0110006907
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    License Number State |    VA
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