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General NPI Number Information
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NPI Number | 1295191724
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Entity Type | Individual
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Provider Name | CAITLIN SHARMAN M.S., ATC, PTA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 101 CARTER RD
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City | GENEVA
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State | NY
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Zip | 14456-1092
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Country | US
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Telephone | 315-781-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 196 NORTH ST
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City | GENEVA
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State | NY
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Zip | 14456-1651
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 014025
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 002775-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 002775
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License Number State | NY
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