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General NPI Number Information
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NPI Number | 1598221798
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Entity Type | Individual
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Provider Name | CAITLIN MORRIS BACON NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 435 CORPORATE DR STE 302
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City | HOUMA
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State | LA
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Zip | 70360-2498
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Country | US
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Telephone | 985-796-2446
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Fax | 986-364-0978
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Provider Business Mailing Address
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Address Line | 435 CORPORATE DR STE 302
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City | HOUMA
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State | LA
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Zip | 70360-2498
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Country | US
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Telephone | 985-796-2446
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Fax | 985-364-0978
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-61021
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 203063
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License Number State | LA
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