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General NPI Number Information
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NPI Number | 1538771399
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Entity Type | Individual
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Provider Name | CAITLYN HUM
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Gender | Female
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 375 DIXMYTH AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-865-2246
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Fax | 513-865-5552
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Provider Business Mailing Address
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Address Line | 375 DIXMYTH AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-865-2246
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Fax | 513-865-5552
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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 | 50.009623RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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