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General NPI Number Information
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NPI Number | 1366262941
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Entity Type | Individual
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Provider Name | KATHLYNN MAUREEN CAFFREY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1460 WALTON BLVD STE 120
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1779
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Country | US
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Telephone | 248-844-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 7235 WELLINGTON PL
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City | WASHINGTON
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State | MI
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Zip | 48094-1462
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Country | US
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Telephone | 586-217-7285
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704315379
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License Number State | MI
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