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General NPI Number Information
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NPI Number | 1558848119
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Entity Type | Organization
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Legal Business Name | CAITLIN HEMMERICH, DDS, PA
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3033 HAZELWOOD ST
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1152
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Country | US
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Telephone | 651-770-3014
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Fax | 651-770-9199
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Provider Business Mailing Address
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Address Line | 1936 JAMES AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2831
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Country | US
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Telephone | 608-633-4329
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Fax |
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Authorized Official
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Title or Position | PERIODONTIST, OWNER
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Name | DR. CAITLIN HEMMERICH
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Credential | DDS
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Telephone | 651-770-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | D13544
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License Number State | MN
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