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General NPI Number Information
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NPI Number | 1497428783
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Entity Type | Individual
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Provider Name | CAITLIN LOCKHART PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/01/2021
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 9800 MT PYRAMID CT STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-2667
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Country | US
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Telephone | 720-776-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 6706 WAUCONDA DR
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City | LARKSPUR
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State | CO
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Zip | 80118-9611
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Country | US
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Telephone | 832-257-7865
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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