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General NPI Number Information
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NPI Number | 1477390219
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Entity Type | Individual
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Provider Name | CAITLIN DAVIE MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 150 N CHESTNUT ST
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City | ROCHESTER
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State | NY
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Zip | 14604-1400
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Country | US
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Telephone | 585-602-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 EAST AVE APT 1A
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City | ROCHESTER
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State | NY
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Zip | 14607-2321
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Country | US
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Telephone | 315-944-5201
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18-P129466-01
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License Number State | NY
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