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General NPI Number Information
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NPI Number | 1326449182
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Entity Type | Individual
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Provider Name | CAITLIN ANNE ANDRYKA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 6 SHACKLEFORD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2858
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Country | US
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Telephone | 501-500-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 90 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-446-5201
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Fax | 740-446-5486
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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 | 50.004120
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-795
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License Number State | AR
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