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General NPI Number Information
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NPI Number | 1609227453
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Entity Type | Individual
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Provider Name | CAITLIN HARRIS HWANG DO
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 215 PESETAS LN
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1416
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Country | US
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Telephone | 805-563-6110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62106
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City | SANTA BARBARA
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State | CA
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Zip | 93160-2106
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Country | US
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Telephone | 805-563-6110
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A17379
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License Number State | CA
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