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General NPI Number Information
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NPI Number | 1518689439
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Entity Type | Individual
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Provider Name | CAITLYN SOCHA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 74 ECLIPSE CTR
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City | BELOIT
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State | WI
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Zip | 53511-3550
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Country | US
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Telephone | 608-423-6859
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 SARAH LN
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City | BELOIT
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State | WI
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Zip | 53511-9559
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Country | US
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Telephone | 608-481-0170
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13057-33
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License Number State | WI
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