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General NPI Number Information
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NPI Number | 1396421459
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Entity Type | Individual
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Provider Name | CAITLYN ELIZABETH PRASAI
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 6600 BRUCEVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95823-4671
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Country | US
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Telephone | 916-886-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 OWENS DR. BUILDING E, 2ND FLOOR
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City | PLEASANTON
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State | CA
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Zip | 94588-3900
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 35302
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License Number State | CA
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