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General NPI Number Information
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NPI Number | 1508563610
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Entity Type | Individual
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Provider Name | CAITLIN LABARGE
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 100 LA SALLE ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10027-4729
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Country | US
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Telephone | 802-488-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 100 LA SALLE ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10027-4729
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Country | US
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Telephone | 802-488-0061
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 14730
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License Number State | NY
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