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General NPI Number Information
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NPI Number | 1356017396
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Entity Type | Individual
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Provider Name | CAITLIN NOEL MEYERS
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 209 MOLLER AVE STE 100
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City | SITKA
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State | AK
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Zip | 99835-7142
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Country | US
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Telephone | 858-213-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 CHANNEL DR STE 300
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City | JUNEAU
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State | AK
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Zip | 99801-7837
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Country | US
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Telephone | 858-213-7898
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 180696
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License Number State | AK
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