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General NPI Number Information
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NPI Number | 1316655152
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Entity Type | Individual
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Provider Name | CAITLIN ACKERET
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Gender | Female
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 2626 17TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-5417
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Country | US
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Telephone | 800-841-4938
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Fax | 812-376-5610
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Provider Business Mailing Address
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Address Line | 2626 17TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-5417
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Country | US
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Telephone | 812-376-5609
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71013206A
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License Number State | IN
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