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General NPI Number Information
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NPI Number | 1386486686
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Entity Type | Individual
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Provider Name | CAITLYNN JEAN DEBOS DPT
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Gender | Female
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Dates
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Enumeration Date | 06/10/2024
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 22415 68TH AVE S
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City | KENT
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State | WA
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Zip | 98032-2444
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Country | US
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Telephone | 253-395-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 1263 WOODFOREST ST NW
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City | MASSILLON
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State | OH
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Zip | 44647-8648
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Country | US
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Telephone | 330-806-5488
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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 | CP032007T
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021108
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP043373T
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License Number State | WA
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