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General NPI Number Information
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NPI Number | 1497605174
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Entity Type | Individual
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Provider Name | CALEB DAVIS PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 701 ORTHOPAEDIC DR
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City | WARSAW
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State | IN
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Zip | 46582-3904
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Country | US
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Telephone | 317-703-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 SHARON ST
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City | WINONA LAKE
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State | IN
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Zip | 46590-2036
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 05016114A
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License Number State | IN
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