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General NPI Number Information
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NPI Number | 1447923784
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Entity Type | Individual
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Provider Name | CAITLIN HOEL
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 12222 W BRIDGER BAY DR
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City | STAR
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State | ID
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Zip | 83669-5081
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Country | US
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Telephone | 208-391-2773
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Fax |
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Provider Business Mailing Address
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Address Line | 72 GINGHAM ST
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City | TRABUCO CANYON
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State | CA
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Zip | 92679-5340
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Country | US
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Telephone | 949-878-7034
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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 |
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License Number State |
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