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General NPI Number Information
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NPI Number | 1548174824
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Entity Type | Individual
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Provider Name | CAITLIN MCTAGGART
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 9205 SW BARNES RD
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City | PORTLAND
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State | OR
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Zip | 97225-6603
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Country | US
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Telephone | 503-216-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 3836 BORMAN LOOP
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City | GULF SHORES
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State | AL
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Zip | 36542-3097
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Country | US
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Telephone | 831-747-7969
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-187570
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License Number State | AL
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