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General NPI Number Information
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NPI Number | 1598003899
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Entity Type | Individual
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Provider Name | CAITLIN JEAN VAN WHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 5153 N 9TH AVE STE 302
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City | PENSACOLA
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State | FL
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Zip | 32504-5719
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Country | US
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Telephone | 850-416-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 E BRAINERD ST
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City | PENSACOLA
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State | FL
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Zip | 32503-6039
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Country | US
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Telephone | 281-221-3882
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-877
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9107820
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License Number State | FL
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