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General NPI Number Information
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NPI Number | 1316243967
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Entity Type | Individual
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Provider Name | CAITLIN CHAPMAN LMHC, PCI
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Gender | Female
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Dates
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Enumeration Date | 01/30/2011
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 5252 BALBOA AVE SUITE 304
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City | SAN DIEGO
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State | CA
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Zip | 92117-6906
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Country | US
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Telephone | 530-902-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 SOUTHCREST AVENUE SUITE
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City | SAN DIEGO
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State | CA
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Zip | 92110
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Country | US
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Telephone | 530-902-3335
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7548
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PCI 69
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 461
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License Number State | CA
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